Evaluation: CHAMPS "2016 Region VIII Health Center Workforce Data"

1. Evaluation Introduction: Contact Information and Satisfaction

Thank you for attending "2016 Region VIII Health Center Workforce Data: Understanding and Utilizing Statistics from the CHAMPS Salary, Benefits, Turnover, and Vacancy Survey Project." This live and archived webcast was originally held on Tuesday, March 7, 2017 and was sponsored by CHAMPS.

Please complete the following evaluation questions so we can review our goals, objectives, and topics for future events. If you complete the Evaluation Questions and provide your contact information, you will receive a Certificate of Participation for this event within six weeks. If you complete the Evaluation and CE questions, you will receive a CE Certificate within six weeks.

Viewers of the live webcast: please complete and submit this Evaluation/Credit information no later than Tuesday, March 14, 2017.

Question Title

* 1. Please provide your contact information. This is required if you would like to receive a Certificate of Participation or CE Credit for this event.

First Name

Last Name

Credentials

Title

Organization

Address

City

Email Address

Phone Number

Question Title

* 2. Are you requesting HR (General) recertification credit hours for this event?
(By requesting this credit you are certifying that you attended the entire LIVE event; you must also complete the Credit Questions later in this survey in order to be awarded credit. A $15 per person fee applies for persons working at organizations that are not Region VIII Health Center Program awardees, Look-Alikes, or Primary Care Associations.)

Yes

Question Title

* 3. Which version of this event ("2016 Region VIII Health Center Workforce Data: Understanding and Utilizing Statistics from the CHAMPS Salary, Benefits, Turnover, and Vacancy Survey Project") did you watch in advance of completing this Evaluation/Credit questionnaire?

Live Online Event (broadcast on 03/07/17)

Online Archive

CD Archive

Question Title

* 4. Please rate your overall satisfaction with this webcast on a scale of 1-10 (1 being the worst possible rating and 10 being the best possible rating).

	1 (worst possible)	2	3	4	5	6	7	8	9	10 (best possible)
Satisfaction	Satisfaction 1 (worst possible)	Satisfaction 2	Satisfaction 3	Satisfaction 4	Satisfaction 5	Satisfaction 6	Satisfaction 7	Satisfaction 8	Satisfaction 9	Satisfaction 10 (best possible)

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