ISHD Home Hemodialysis Showcase

Evaluation Form

Thank you for participating in the ISHD VIRTUAL Home Hemodialysis Demonstration Showcase. Since this was an inaugural offering, we NEED your feedback to plan future showcases and other educational events.

Thank you for your time in completing this brief online survey.

1.If you would like to receive more information from ISHD and be formally added to our email list, please complete the information below

Name:

Employer Name (if applicable):

Email address:

Phone #:

*2.Respondent Type:(Required.)

Physician

Fellow/Student

Nurse

Tech

Patient

Industry Representative

Other (please specify)

Objective(s):
Increase awareness of available technology in HHD amongst dialysis providers to promote growth of HHD.

Provide a unique online platform to the HHD industry to showcase the latest technology and highlight
unique features of HHD devices.

Offer a unique opportunity to the presenters, panelists and the nephrologists/nurses/technicians to
interatct on various aspects of HHD technology.

3.Please respond below:

Yes

N/A

Did the showcase meet objectives?

Yes

N/A

Did the program provide you with new information on home hemodialysis?

Yes

N/A

Comments:

4.By attending this activity, do you feel more confident in treating patients?

Yes

N/A

Comments:

5.Did the information presented validate things already done in your practice?

Yes

N/A

If so, how?

6.Will the information presented stimulate your interest to read about and discuss this topic further?

Yes

N/A

Comments:

*7.How would you rate the OVERALL quality of the activity?(Required.)

Excellent

Good

Fair

Poor

Comments:

8.What other Home Hemodialysis topics would you like to see included in future events? (please select all that apply)

HHD Training

Management of HHD Problems (once home)

Burnout

Partners

Solo Dialysis

Other (please specify):

9.Suggestions for Future VIrtual Showcases

10.General Comments

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