WV Perinatal Summit 2022 Evaluation

Continuing Education Credit

Thank you for attending the WV Perinatal Summit 2022!

Complete the following evaluation for each of the sessions that you attended. If you were not present during one of the sessions please skip to the next section.

At the end of this survey, print your continuing education certificate for your records.

Question Title

* 1. Please indicate your profession.

Childbirth Instructor

Doula

Faculty

Health Care Administrator

Health Care Government Worker

Lactation Consultant

Midwife

Nurse

Nurse Practitioner

Physician

Physician Assistant

Policy Maker/legislator

Social Worker

Student

Other (indicate below)

Other (please specify)

Question Title

* 2. What is your age range?

18-24

25-34

35-44

45-54

55-64

65+

Question Title

* 3. In what area do you practice? (You may check more than one choice.)

Obstetrics/maternity care

Gynecology/ Women's health

Both OB/GYN

Mental Health

Home Health, Home visitor program

Family Practice

Pediatrics

Adult Health

Hospital based

Government based

Community based

Other (please specify)

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20% of survey complete.