POTS Webinar 1-25-24
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1.
Please rate OVERALL satisfaction of this Course
(Required.)
Very Dissatisfied
1 star
Dissatisifed
2 stars
Neutral
3 stars
Satisfied
4 stars
Very Satisfied
5 stars
N/A
*
2.
Please rate your satisfaction with the
content of this course
(Required.)
Very Dissatisfied
1 star
Dissatisifed
2 stars
Neutral
3 stars
Satisfied
4 stars
Very Satisfied
5 stars
N/A
*
3.
Please rate your satisfaction with the instructor and the delivery of the course objectives
(Required.)
Very Dissatisfied
1 star
Dissatisifed
2 stars
Neutral
3 stars
Satisfied
4 stars
Very Satisfied
5 stars
N/A
4.
What did you like
best
?
5.
What did you like
least
?
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6.
Where are you viewing this meeting?
(Required.)
Home
Work
Other (please specify)
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7.
What time of day works best for you?
(Required.)
Weekday evenings
Weekend days
Weekday days
Mid day - longer lunch time
Other (please specify)
8.
Continuing Education Course Suggestions: Topics and/ or Speakers. Would you like to be a speaker?
*
9.
What is your primary Facility?
(Required.)
Alta Bates Medical Center
Alta Bates Medical Center - Summit
California Pacific Medical Center
Eden Medical Center
Novato Community Hospital
Memorial Hospital Los Banos
Memorial Medical Center Modesto
Mills Peninsula Health Services
Palo Alto Medical Foundation
Sutter Amador Hospital
Sutter Auburn Faith Hospital
Sutter Care at Home
Sutter Coast Hospital
Sutter Davis Hospital
Sutter Delta Medical Center
Sutter Lakeside Hospital
Sutter Medical Center, Sacramento
Sutter Medical Center, Santa Rosa
Sutter Pediatric Rehabilitation
Sutter Physical Therapy - Auburn
Sutter Physical & Hand Therapy - Davis
Sutter Physical & Hand THerapy - Elk Grove
Sutter Physical & Hand Therapy - Fairfield
Sutter Physical & Hand Therapy - Greenback
Sutter Physical Therapy - Lincoln
Sutter Physical Therapy - North
Sutter Physical Therapy - Roseville
Sutter Physical & Hand Therapy - Sacramento
Sutter Physical & Hand Therapy - Vacaville
Sutter Physical Therapy - Woodland
Sutter Rehabilitation Institute
Sutter Roseville Medical Center
Sutter Soloano Hospital
Sutter Tracy Community Hospital
Bay Region
Other Facility (please specify)
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10.
What is your Name
(Required.)
*
11.
What is the
best email
for sending certificate? (Required for Continuing Education Hours Certificate). Please be sure to double check correct spelling of email.
(Required.)
*
12.
What is your title?
(Required.)
Audiologist
Certified Hand Therapist
Certified Occupational Therapist Assistant
Occupational Therapist
Physical Therapist
Physical Therapist Assistant
Speech Pathologist
Certified Wound Care Specialist
Other (please specify)
13.
By choosing yes to this question, I am confirming my attendance for the entirety of this continuing education course.
Yes
No
