|  | Please type responses here: | 
		
			| First Name: |  | 
		
			| Last Name: |  | 
		
			| Email Address: |  | 
		
			| Retype Email Address: |  | 
		
			| Title: |  | 
		
			| Institution: |  | 
		
			| Phone Number: |  | 
		
			| City: |  | 
		
			| State/Province: |  | 
		
			| Postal/Zip Code: |  | 
		
			| Country: |  | 
		
			| What topics would you like to see covered in future POC Group Webinars? |  | 
		
			| Overall, how would you rate your satisfaction with this Point of Care Web Meeting? | Extremely satisfied Very satisfied
 Somewhat satisfied
 Dissatisfied
 
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			| Your feedback helps your webinar producers and sponsors improve the overall quality of their products and services. 
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		| Where do you need help in finding efficiencies in your point of care program processes: | Reporting Certifications
 User Interface
 Charting
 Device List
 Education
 Bulk editing
 Personalized dashboards
 
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		| If you chose ‘other’ in the question above, please explain where you need help finding efficiencies in your point of care program processes: |  | 
	
		| Do you currently use Cepheid tests? | Yes No
 
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		| Are you looking to add any new CLIA waived molecular tests this year? | Yes No
 
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		| Would you like to be contacted to learn more about Cepheid's POC solutions? | Yes No
 
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		| Are you currently performing Rapid Antigen Testing at the POC? | Yes No
 
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		| Which respiratory illnesses do you currently test for? Please choose all that apply: | COVID Flu
 RSV
 Strep
 
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		| Has your urinalysis program been standardized? | Yes No
 Not sure
 
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		| What priorities matter most to your organization concerning point-of-care urinalysis? Please select all that apply: | Clinical precision Regulatory compliance
 User-friendliness
 Connectivity and integration
 Workflow optimization
 
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		| What is the preferred method for you to receive POC product-specific updates on products used in your facility? | Email to your work email address Email to a general POC department mailbox
 Physical mailer to POC department
 Other
 
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		| If you chose ‘other’ in the question above, please specify: |  | 
	
		| If your facility has a general POC department mailbox where you would want product updates to be sent, please provide the address below: |  | 
	
		| Please choose ONE of the following choices for continuing education: | ASCLS PACE Credit Florida CE Credit
 I would not like to receive credit for today's session
 
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		| If you are planning to submit this session for Florida CE Credit, please provide your Florida license number: |  | 
	
		|   To receive ASCLS PACE credit (PACE Program number 174-014-25, California Agency #0001) OR FloridaCE Credit for "Setting Up a Free-Standing ED/Urgent Care Lab" presented on May 22, 2025, you will be required to complete the following program evaluation.   | 
	| 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
 
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	| SPEAKER RATING | 
| To what extent was the speaker knowledgeable, organized and effective during the presentation? (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest) | 1 2
 3
 4
 5
 
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	| 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
 
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	| 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
 
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	| OBJECTIVES RATING: 
		 
		
		To what extent was each objective achieved? | 
| Describe the regulatory requirements for testing. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest) | 1 2
 3
 4
 5
 
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	| Demonstrate collaboration with stakeholders to make decisions for operations. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest) | 1 2
 3
 4
 5
 
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	| Design a working project plan for implementation and operation. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest) | 1 2
 3
 4
 5
 
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	| 
		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
 
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	| 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
 
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	| 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
 
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	| Comments: |  | 
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		Thank you for attending this PACE approved program 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 | 
		
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