|
Please type responses here: |
First Name:
|
|
Last Name:
|
|
Email Address:
|
|
Retype Email Address:
|
|
Title:
|
|
Institution:
|
|
Phone Number:
|
|
City:
|
|
State/Province:
|
|
Postal/Zip Code:
|
|
Country:
|
|
Overall, how would you rate your satisfaction with this webinar?
|
Extremely satisfied
Very satisfied
Somewhat satisfied
Dissatisfied
|
Your feedback helps your webinar producer and sponsor improve the overall quality of their products and services.
|
What is your role in the purchasing process? Please choose all that apply:
|
I am the purchasing decision maker
I influence the purchasing decisions
I gather information on product and services
I have no part in purchasing decision
|
Do you have a current GPO affiliation?
|
Yes, primarily Health Trust
Yes, primarily Intalere (formerly Amerinet)
Yes, primarily Premier
Yes, primarily Vizient (formerly Novation & MedAssets)
Yes, but the GPO is not listed (please add your GPO in the space provided)
Mulitple GPOs (please add your affiliated GPO in the space provided)
No, not affiliated
|
If your GPO wasn’t mentioned above, please list it here:
|
|
Do you believe additional information/resources on BNP testing would help support your heart failure protocols?
|
Yes, please contact me
Possibly—send me more information
Not at this time
|
Is BNP testing currently available at your facility for heart failure diagnosis?
|
Yes
No
|
Would faster, point-of-care BNP testing improve decision-making or reduce delays in your clinical workflow?
|
Yes
No
Not sure
|
Would you like more information on this webinar topic?
|
Yes
No
|
Would you like to receive EITHER ASCLS PACE credit, program number 354-007-25 (California Agency #0001), OR Florida CE credit OR a certificate of attendance for the session, "Utilizing Natriuretic Peptide Testing to Identify and Manage Heart Failure"? (If no, you do not need to complete the following questions.)
|
Yes
No
|
Which continuing education credit would you like to receive for this session?
|
PACE
Florida CE Credit
Certificate of Attendance
No, I would not like to receive continuing education credit for this session
|
If you are planning to submit this session for Florida CE Credit, please provide your Florida license number:
|
|
If the following is true, please answer "Yes": I have attended the full instructional time for this program. I understand that completion of the program is necessary to receive the contact hours awarded for the program.
|
Yes
No
|
SPEAKER RATING
|
To what extent was the speaker knowledgeable, organized and effective during the presentation? (Rate on a scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
To what extent did the speaker clarify and focus on the stated objectives? (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
To what extent were the speaker's teaching methods & aids appropriate & effective? (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
OBJECTIVES RATING:
To what extent was each objective achieved?
|
Explain how BNP levels reflect the heart's function and how they can be used to identify patients at risk of developing heart failure. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
Discuss the role of BNP in diagnosing and risk-stratifying patients with heart failure, and in guiding their management. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
Review the interplay between diabetes and heart failure, and how natriuretic peptides can aid implementation of guideline-directed therapies in heart failure and diabetes. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
PROGRAM CONTENT RATING
|
To what extent did the program content relate to the program's objectives? (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
Rate the contribution of this session to your overall knowledge of this subject. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
Rate your overall degree of satisfaction with this session. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
Comments:
|
|
Thank you for attending this webinar and completing this evaluation. Questions? Call Whitehat Communications at 434 202 8365.
|
By submitting this evaluation, Whitehat uses your information to communicate with you regarding this webinar and other educational events. https://www.whitehatcom.com/privacy_policy.htm
|
|