Thank you in advance for sharing your facility feedback!

Please complete this anonymous questionnaire based on your facility's experience during the January 17, 2018 Facility RCA Training. A response by the 2/1 deadline would be greatly appreciated. Thank you.

What is your role at your facility?

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* 1. What is your role at your facility?

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

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

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i We adjusted the number you entered based on the slider’s scale.
How did you hear about this event? (Select all that apply)

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* 3. How did you hear about this event? (Select all that apply)

The objectives for this webinar were accomplished.

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* 4. The objectives for this webinar were accomplished.

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

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

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

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

My key learning/takeaway from this meeting was?

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

This webinar could have been improved by…

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* 8. This webinar could have been improved by…

I plan to join upcoming Network webinars.

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* 9. I plan to join upcoming Network webinars.

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

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

If your facility had quality improvement successes in the area discussed today, would you be willing to share your success story with the Network or on a future webinar? List your name, facility, and contact information

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* 11. If your facility had quality improvement successes in the area discussed today, would you be willing to share your success story with the Network or on a future webinar? List your name, facility, and contact information

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