Bakersfield NICU Cooling Team Training
Required Content Evaluation
Step
1
of
2
50%
Brain Cooling Course Evaluation:
Thank you for your time. This survey will only take you a FEW minutes to complete. Please note, that each individual requesting a Continuing Education Certificate must complete a separate evaluation form.
Please verify that you have watched the following training videos.
*
(You must complete all training sections prior to receiving your certificate)
I have watched all training videos in Part 1
I have completed the evaluation for Part 1
I have watched all training videos in Part 2
I have completed the evaluation for Part 2
I have watched all training videos in Part 3
I have completed the evaluation for Part 3
The content was relevant to my daily practice
*
Excellent
Very Good
Good
Fair
Poor
Overall, these presentations were
*
Excellent
Very Good
Good
Fair
Poor
Continuing Education & Certificate Information
Complete the information below to receive a certificate of Participation & Continuing Education. By entering your information below, you certify that you have personally watched all presentations and entered this information after doing so, and that you are submitting this form only for yourself.
Name
*
First
Last
Job Title/Credentials
Please provide your State License # (this will appear on the CE Certificate)
Email
*
Enter any other comments here. Thank you for your time!
Hidden
Title
*
Brain Cooling Course
Hidden
Module
BAKERSFIELD NICU COOLING TEAM TRAINING
Hidden
Course Code Prefix
*
These numbers will show BEFORE the course code on the template.
Hidden
Template Color
*
(Don't forget the #)
Hidden
Number of Units Earned
*
(Example: 1 hour, 3 hours, 10 magic beans -- be sure to add the measurement)
CONTACT INFORMATION
Email for Questions – info@synapsecare.com