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Long Term Care Conference Survey (For Registrants)
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1.
Would you be interested in one hour CME/CE lectures via ZOOM?
(Required.)
Yes
No
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2.
Please indicate the lectures of interest: (Select all that apply)
(Required.)
The Future of Post-Acute/Long-Term Care
Navigating the Patient-Driven Payment Model and 6-month National Update
The Most Frequently Cited F-Tags (Nationally and in Hawai‘i)
Quality Assurance and Performance Improvement: The rewards of Engaging the Interdisciplinary Team
Geriatric Cardiology Management
A Mindful Approach for Addressing Compassion Fatigue
Incapacitation: Legal vs Medical Definition
Medication reconciliation in Transitions of Care
Empowering Facilities to Meet Behavioral Health Challenges
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3.
What is the best time of day for you to participate? (Select all that apply)
(Required.)
7:30 am
11:30 a.m.
12:00 noon
12:30 p.m.
4:30 p.m.
5:00 p.m.
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4.
How often would you be interested in video conference or webinar programs?
(Required.)
Weekly
Bi-weekly
Monthly
Quarterly
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5.
Do you have computer equipment to participate in a video conference? (Select all that apply)
(Required.)
Desktop
Laptop
Tablet
Webcam
Built in microphone
Internet
I don't have the right equipment
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6.
Would you be comfortable asking questions via chat?
(Required.)
Yes
No
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7.
Would you still be interested if there was a nominal fee to cover the cost of a 1 hour CME/CE video conference?
(Required.)
Yes
No
8.
Comments/Concerns
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9.
Please fill out the information below.
(Required.)
Name
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Company
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Address
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Address 2
City/Town
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State/Province
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ZIP/Postal Code
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Country
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Email Address
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Phone Number
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