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Hands-On Transseptal Course (IC) June 13, 2022
Feedback Survey
Thank you for attending the Hands-On Transseptal Course (IC). Please complete the following survey and provide us with your feedback.
1.
Please provide your full name:
*
2.
Rate your comfort level with transseptal procedures
prior
to
attending the Hands-On Transseptal Course.
(Required.)
Very Uncomfortable
Somewhat Uncomfortable
Neutral
Somewhat Comfortable
Very Comfortable
*
3.
Rate your comfort level with transseptal procedures
after
attending the Hands-On Transseptal Course.
(Required.)
Very Uncomfortable
Somewhat Uncomfortable
Neutral
Somewhat Comfortable
Very Comfortable
*
4.
What could we offer you, as part of or in addition to this course, to increase your level of comfort with the transseptal procedure? Please be as specific as possible.
(Required.)
*
5.
Rate the value of the following training segments included in this course:
Didactic Lectures
(Required.)
Not Valuable
Limited Value
Neutral
Valuable
Very Valuable
*
6.
Animal Heart Dissection
(Required.)
Not Valuable
Limited Value
Neutral
Valuable
Very Valuable
*
7.
Hands-on Animal Lab
(Required.)
Not Valuable
Limited Value
Neutral
Valuable
Very Valuable
*
8.
Synthetic Anatomical Model
(Required.)
Not Valuable
Limited Value
Neutral
Valuable
Very Valuable
*
9.
ICE and TEE Simulator
(Required.)
Not Valuable
Limited Value
Neutral
Valuable
Very Valuable
*
10.
Mentice TSP Simulator
(Required.)
Not Valuable
Limited Value
Neutral
Valuable
Very Valuable
*
11.
Would you recommend this course to colleagues?
(Required.)
Yes
No (please explain):
*
12.
Please rate the organization of the course (transportation, the information provided, timeliness, etc.):
(Required.)
Very disorganized
Disorganized
Neutral
Organized
Very Organized
Please tell us how we can improve:
*
13.
Please rate the overall quality of the lab venue:
(Required.)
Very low
Low
Moderate
High
Very High
*
14.
Do you feel Baylis has taken sufficient and appropriate steps to minimize risk of spread of COVID-19 during this program?
(Required.)
Yes
No (please explain):
*
15.
What is the best method to contact you for follow-up?
(Required.)
Email
Phone
16.
Please write any additional comments/feedback below: