NH DSRIP Application Review Webinar Survey Please answer the following questions: Question Title * 1. Did you attend the New Hampshire DSRIP IDN webinar on June 6, 2016 at 1:30 pm EST? Yes No Question Title * 2. After attending the webinar, what is your level of understanding of the IDN application process? I understand the application process completely. I somewhat understand the application process. I do not understand the application process. Question Title * 3. Do you feel the "write-back" process was clearly explained? Yes No Question Title * 4. Do you know how to contact the Independent Assessor, Myers and Stauffer? Yes No Question Title * 5. Did the webinar answer your application review process questions? If you did not have any questions prior to the webinar, please select N/A) Yes No N/A Question Title * 6. If you would like someone from the Independent Assessor, Myers and Stauffer, to contact you, please leave your name, phone number and email address in the boxes below. Name: Phone Number: Email Address: Done