Advances in Diabetes Management CLASS EVALUATION: October 17, 2018

Advances in Diabetes Management class evaluation: Demographics

This survey functions as the evaluation for the TCHP Advances in Diabetes Management class. Your certificate of attendance will be sent to you at the email address you enter below.

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* 1. Please let us know a little bit about you.

The demographic information on this page is used to prepare your certificate of attendance. Evaluation responses are grouped with identifying information removed for your privacy.

*First and Last Name:

*Email Address
(use work email if from a TCHP Organization)

Phone:

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* 2. Please indicate which organization you work for:

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* 3. Please indicate your unit or work area. If you are not currently working, enter "not working."

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* 4. How long have you been working in health care?

Just starting

1-5 years

6-10 years

>than 10 years

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* 5. Are you currently working in critical care?

No.

Just starting.

Yes. Indicate the number of years in critical care below

Years worked in critical care

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* 6. Please select the situation listed below that best describes you.

I am a nurse and do not have a special certification.

I am a nurse with a special certification such as a CCRN, PCCN, etc.

I am not a nurse.

If you are not a nurse, please specify your profession

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* 7. I verify that I have attended this class.

Yes

No (not eligible for contact hours)

This survey functions as the evaluation for the TCHP Advances in Diabetes Management class. Your certificate of attendance will be sent to you at the email address you enter below.

Question Title

* 1. Please let us know a little bit about you. The demographic information on this page is used to prepare your certificate of attendance. Evaluation responses are grouped with identifying information removed for your privacy.

Question Title

* 2. Please indicate which organization you work for:

Question Title

* 3. Please indicate your unit or work area. If you are not currently working, enter "not working."

Question Title

* 4. How long have you been working in health care?

Question Title

* 5. Are you currently working in critical care?

Question Title

* 6. Please select the situation listed below that best describes you.

Question Title

* 7. I verify that I have attended this class.

* 1. Please let us know a little bit about you.

The demographic information on this page is used to prepare your certificate of attendance. Evaluation responses are grouped with identifying information removed for your privacy.