Survey Template Question Title * 1. Please complete the following information: First Name Last Name Email Question Title * 2. Today's Date (mm/dd/yyyy) Question Title * 3. Type of Learning Event Live Webinar On Demand Question Title * 4. Name of Learning Event name Question Title * 5. CEU .1 Question Title * 6. Name of Speaker speaker name Question Title * 7. How did you learn about this NRRTS webinars? NRRTS Email NRRTS Website NRRTS Directions Magazine Social Media Internal Communication Question Title * 8. Overall, I rate the webinar as (5=highest, 1=lowest) 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 9. Webinar was well planned. 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 10. Handouts were useful. 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 11. Learning objectives were outlined. 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 12. Presenter was prepared to present content. 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 13. Presenter was knowledgeable. 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 14. Presenter’s teaching style was appropriate. 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 15. Presenter provided opportunities to ask questions. 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 16. Presenter provided contact information 5 4 3 2 1 5 4 3 2 1 Question Title * 17. Did the instructor provide feedback on the mastery of the learning outcomes to the learners Yes No Webinar setting, therefore feedback will occur after I complete the post-test. Question Title * 18. Objective #1: 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 19. Objective #2: 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Question Title * 20. Objective #3: 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor 5 - Excellent 4 - Good 3 - Satisfactory 2 - Less than Satisfactory 1 - Poor Please consider each test question carefully. You must score 70% to receive .1 CEU. Question Title * 21. Test Q1. True False Question Title * 22. Test Q2. True False Question Title * 23. Test Q3. True False Question Title * 24. Test Q4. True False Question Title * 25. Test Q5. True False Question Title * 26. Please share any comments or suggestions for improving this webinar Question Title * 27. Please share any topic ideas for future webinars. Question Title * 28. What is your role in the CRT Industry? Supplier Manufacturer Physical Therapist Occupational Therapist Other (please specify) Done