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* 1. Thank you for participating in our webinar. Please take a few minutes to rate the webinar. We value and appreciate your feedback.

Date

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* 2. Please select which of the following best describes your job:

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* 3. For each statement on the left, check the box indicating your level of agreement with that statement, and then provide details about your response in the box to the right.

  Strongly Disagree Disagree Neutral Agree Strongly Agree
Organization & Design
The format of the course (e.g., webinar) was appropriate for this training topic.
Course Content 
My understanding of the subject matter has improved as a result of having participated in this training.
The information was presented in ways I could clearly understand
Relevancy
The course content was relevant to my job.
This training will improve my ability to do my job.
I have identified actions I will take to apply information I learned from this training in my work.
Recommendation
I would recommend this training to colleagues.
I was satisfied with this training overall

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* 4. How would you rate the webinar overall:

  Excellent Good Average Fair Poor N/A
Speaker Effectiveness
Objectives Met
Content Current
Webinar Registration Process

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* 5. Please provide us with feedback as to how the training could be improved.

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* 6. Do you intend to apply this training toward employment requirements, continuing education credit, certification or credentialing?

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* 7. What type of continuing education credit are you seeking?

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* 8. Overall, the value of this training to me was:

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* 9. Have you previously attended any of the SWTRC's webinar?

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* 10. Please list any suggested public health or telehealth topics you would like to see offered

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* 11. How did you hear about the WRPHTC / SWTRC webinar?

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* 12. Please indicate the following:

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* 13. Please add any additional information and comments here.

Thank you very much for taking the time to complete this survey. We hope that you will participant in future webinars. Sincerely, WRPHTC & SWTRC

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