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* 1. Your full name:

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* 2. Your hospital's full name:

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* 3. Your RN license number (so our office can manually enter your CEU credit)

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* 4. Please check the box that describes the level of information presented

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* 5. Please rate the specific objectives of the webinar:

  Strongly agree Agree Disagree Strongly disagree
This information will be helpful to me in my job.
I got the information I expected from this webinar.
I better understand opioid prescribing for Sickle Cell patients and gained a few ideas to try at our facility.
I gained a new look into how we can reduce readmissions of our Sickle Cell population for our facility.
I gained new PFE knowledge that can be applied to our Sickle Cell population.

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* 6. Please rate the presentation by Dr. Steve Tremain (opioid SME) on today's webinar:

  Strongly agree Agree Disagree Strongly disagree
Presenter was easy to follow
Information was presented in a logical sequence
Would recommend this speaker again on this subject
Length of his portion of the webinar was appropriate

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* 7. Please rate the presentation by Pat Teske (Readmissions SME) on today's webinar:

  Strongly agree Agree Disagree Strongly disagree
Presenter was easy to follow
Information was presented in a logical sequence
Would recommend this speaker again on this subject
Length of her portion of the webinar was appropriate

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* 8. Please rate the presentation by Martha Hayward (Patient and Family Engagement SME) on today's webinar:

  Strongly agree Agree Disagree Strongly disagree
Presenter was easy to follow
Information was presented in a logical sequence
Would recommend this speaker again on this subject
Length of her portion of the webinar was appropriate

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* 9. Do you have a suggestion for future webinars provided by AlaHA?

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* 10. Please carefully type your email address, in case there are additional questions regarding your CEU credit submission by our office. Thank you!

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