Thank you for attending the webinar. Please complete the following attestation and polling questions to ensure credit for your attendance.

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* 1. Please enter your facility name.

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* 2. Please enter your 6-digit CMS certification facility provider number  (begins with 45 or 67).

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* 3. Please enter your first name.

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* 4. Please enter your last name.

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* 5. Please enter your email address.

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* 6. This webinar met its stated objectives.

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* 7. This webinar gave us clear instructions on how to implement the monthly patient surveys.

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* 8. This webinar gave us clear instructions on what was expected of Facility Patient Representative (FPR) involvement with the project.

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* 9. I understand the project requirements.

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* 10. My facility has received our Spring 2016 ICH CAHPS Survey Report from our corporation/vendors.

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* 11. I was aware of my facility's scores for "Question 39: In the last 12 months, did either your kidney doctors or dialysis staff talk to you about peritoneal dialysis?" before receiving the Network's notification of facility involvement in this project?

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