Good Sam NICU Cooling Team Training
Required Content Evaluation
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
The content was relevant to my daily practice
Overall, these presentations were
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.
Please provide your State License # (this will appear on the CE Certificate)
Enter any other comments here. Thank you for your time!
Brain Cooling Course
GOOD SAM NICU COOLING TEAM TRAINING
Course Code Prefix
These numbers will show BEFORE the course code on the template.
(Don't forget the #)
Number of Units Earned
(Example: 1 hour, 3 hours, 10 magic beans -- be sure to add the measurement)
Email for Questions – email@example.com