2022 NICU Nurse Leaders Forum Symposium
NICU Nurse Leaders Symposium Speaker 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.
Choose from the list of webinar titles on the dropdown menu below
Coming Full Circle: A Former NICU Nurse Leader Turned NICU Mother
Evaluate the Presentation Style and Content --
Amy Wiford, BSN, RN
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 Objectives -- Multidisciplinary Team Challenges to Caring for Patients with Hypoxic Ischemic Encephalopathy
Rate how well the presentation met the following learning objectives.
Attendees will be able to describe 3 ideas to create a more inclusive environment for parents
Evaluate the Presentation Content --
The content was relevant to my daily practice
Overall, this presentation was
List one new thing you learned in this presentation
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.
Your State License #
This will be printed on your CE certificate
District of Columbia
Out of Country
Enter any other comments here. Thank you for your time!
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 – firstname.lastname@example.org