2018 Home Dialysis QIA Introduction Webinar Feedback
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1.
The Network kick off presentation for this project was well organized.
(Required.)
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments:
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2.
I understand why my facility was chosen to participate in this project.
(Required.)
Yes
No
Comments:
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3.
The afternoon time for the presentation worked better for my schedule.
(Required.)
Yes
No
Comments:
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4.
After participating in this presentation, I understand the goal/AIM of this improvement project.
(Required.)
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments:
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5.
How do you rate the content that was presented?
(Required.)
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Very Dissatisfied
Comments:
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6.
How do you rate the quality of the speaker's performance?
(Required.)
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Very Dissatisifed
Comments:
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7.
On a scale of 1-5, how would you rate the value of this project for patients?
(Required.)
1 Very Valuable
2 Valuable
3 Neutral
4 Somewhat Valuable
5 Not Valuable
Comments:
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8.
What topic(s) related to home dialysis would you like to suggest for future educational webinars?
(Required.)
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9.
Facility Medicare Provider Number (DE facilities start with 08; PA facilities start with 39)
(Required.)
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10.
Facility Name
(Required.)