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2026 BETA HEART Workshop 1 - Participant Evaluation

January 29-30, 2026

1.Please select your facility name from the drop-down list below(Required.)
2.If "Other" selected from above, please name your organization:
3.LAST Name(Required.)
4.FIRST Name(Required.)
5.Email Address(Required.)
6.Attendance and completion of this online evaluation are required to receive continuing education credit for this Workshop.
Please select all that apply to you.(Required.)