Neotech Cares Webinar Evaluation 3-29-17
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Neotech Webinar 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.
Visual & Perceptual Disorders Associated with Premature Birth
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Visual & Perceptual Disorders Associated with Premature Birth
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Module:
Neotech Webinar
Can put the company's name if applicable. Will appear below the title of the webinar on the CE certificate. Must remove sample name.
Evaluate the Presentation Style and Content --
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Dr. David Sami
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
Evaluation of Objectives -- Rate how well the presentation met the following learning objectives.
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Visual & Perceptual Disorders Associated with Premature Birth
Excellent
Very Good
Good
Fair
Poor
Discuss the current evidence for oxygen targeting in the NICU to prevent visual disorders.
List two future therapies to minimize the risk for ROP.
Describe two long-term visual issues for premature infants.
Evaluate the Webinar Content --
The content was relevant to my daily practice
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Excellent
Very Good
Good
Fair
Poor
The content was presented without commercial bias
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Excellent
Very Good
Good
Fair
Poor
Overall, this online webinar was
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Excellent
Very Good
Good
Fair
Poor
As we look to always improve our webinars would you be interested in a Q&A with the speaker following the webinar?
Yes, I would like a LIVE Q&A with the speaker!
No, thank you
List one new thing you learned in this webinar
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 the complete webinar presentation for a total of 50 minutes or more, that you entering this information after doing so, and that you are submitting this form only for yourself.
Name
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First
Last
Email
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Job Title/Credentials
Please provide your State License # (this will appear on the CE Certificate)
Enter any other comments here. Thank you for your time!
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Course Code Prefix
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These numbers will show BEFORE the course code on the template.
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Template Color - be sure to match to the company color
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(Don't forget the #)
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Number of Units Earned
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(Example: 1 hour, 3 hours, 10 magic beans -- be sure to add the measurement)
CONTACT INFORMATION
Email for Questions – grn.ceuprovider@gmail.com