Post Webinar Evaluation

Please complete the Webinar Evaluation. We welcome and value your input.
  • Completion is dependent on ALL fields being completed. 

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* 1. Please select your facility from the dropdown list below; facility name and CMS Certification Number (CCN) have been included.

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* 2. Please select your facility from the dropdown list below; facility name and CMS Certification Number (CCN) have been included.

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* 3. What is your role at your facility?

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* 4. In addition to your attendance on this webinar, how many other team members listened with you at your location?

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* 5. The objectives for this webinar were accomplished.

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* 6. The information presented was useful and beneficial to implementing strategies in my unit.

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* 7. I will share the information presented in the webinar with other staff members and patients in my unit.

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* 8. My key learning/takeaway from this meeting was?

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* 9. This webinar could have been improved by…

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* 10. The Network should offer additional educational webinars on the following topics...

We appreciate you for taking the time to provide feedback. Please remember to click "Done" to ensure it is submitted.

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