We endeavor to provide the most effective and meaningful education to our members, insureds and HQI Cares partners. As a participant in the recent BETA HEART Workshop I, we would sincerely appreciate your insight and feedback regarding this event.
 
Please note: required questions are marked with an asterisk*
 

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1. Please select your facility name from the drop down list below (Required.)

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2. If "Other" selected from above, please name your organization:

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3. LAST Name (Required.)

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4. FIRST Name (Required.)

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5. Email Address (Required.)

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6. Was this your first time attending this workshop? (Required.)

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7. Attendance and completion of this online evaluation are required to receive continuing education credit for this workshop.
Please select all that apply to you. (Required.)

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