H2H 2021 Conference Day 1

Hand to Hold Conference for NICU Professionals - Day 1
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.
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Title*
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Module
Evaluate the Presentation Style and Content -- Marni Panas, BHAdmn, CCIP*
Excellent Very Good Good Fair Poor
The instructor’s ability to explain was
The pace of the material presented was
The content was clear and easy to follow
The content was presented without commercial bias

Evaluation of Learning Objective(s) -- Communicating with NICU Families*

Rate how well the presentation met the following learning objectives.

	Excellent	Very Good	Good	Fair	Poor
Describe one strategy to engage in honest and meaningful conversations with parents throughout their NICU experience
List at least two ways to include parents as partners in the day to day care and decision making of their newborn

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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 listened to the presentation and entered this information after doing so, and that you are submitting this form only for yourself.
Name*
First Last
Job Title/Credentials
Your State License #
This will be printed on your CE certificate
Email*
Hospital Name
Hospital State
Hospital City
Enter any other comments here. Thank you for your time!
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Course Code Prefix*

These numbers will show BEFORE the course code on the template.
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Template Color*

(Don't forget the #)
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Number of Units Earned*

(Example: 1 hour, 3 hours, 10 magic beans -- be sure to add the measurement)

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Hand to Hold 2021 NICU Community Conference for NICU Professionals

	Excellent	Very Good	Good	Fair	Poor
The instructor’s ability to explain was
The pace of the material presented was
The content was clear and easy to follow
The content was presented without commercial bias