Quality Management Webinar Feedback

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* 1. Practice name:

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* 2. Main contact name

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* 3. Tax ID:

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* 4. Please select the Webinar you attended:

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* 5. Please select the type of Webinar you attended:

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* 6. How Informative did you find our Webinar?

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* 7. Please rate the content of the slides.

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* 8. What percentage of this information was new to you?

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* 9. Please rate the speaker’s presentation skills.

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* 10. Please check which days are most convenient for you to attend the next educational webinar?

  Monday Tuesday Wednesday Thursday Friday
Days

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* 11. Please check which times are most convenient for you to attend the next educational webinar?

  8am-11am 11am-2pm 2pm-5pm
Times

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* 12. Is there any additional information related to the subject matter, you would have liked included? If so, please list.

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* 13. Are there any other quality improvement or management topics you would be interested in hearing more information on?

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* 14. Do you have any other comments or feedback?

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