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.

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* 1. What is your role at your facility?

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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.

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

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* 4. The objectives for this webinar were accomplished.

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

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

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* 8. This webinar could have been improved by…

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* 9. I plan to join upcoming Network webinars.

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

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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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