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* 2. Complete the below information.

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* 3. Please list the Primary and Secondary Contacts for this project. (If unknown, list the Facility Administrator for the Project Lead and Backup)

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* 4. What date did you attend the webinar?

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* 5. Complete the following polling questions.

  Strongly Agree Agree Disagree Strongly Disagree
This webinar met its stated objectives.
This webinar gave me clear instructions on how to implement and report the 4 CDC audits.
This webinar gave me clear instructions on how to complete the Patient Engagement Activities.
I fully understand the project requirements.
I know the location of the reviewed materials, and I know where to find additional resources if I need them.
I know who to contact from the Network if I need assistance.
This webinar was held at a convenient time

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* 6. Any comments or feedback to improve this project or webinar.

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