|
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
|
Your feedback helps your webinar producers and sponsors improve the overall quality of their products and services.
|
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
|
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
|
Are you looking to add any new CLIA waived molecular tests this year?
|
Yes
No
|
Would you like to be contacted to learn more about Cepheid's POC solutions?
|
Yes
No
|
Are you currently performing Rapid Antigen Testing at the POC?
|
Yes
No
|
Which respiratory illnesses do you currently test for? Please choose all that apply:
|
COVID
Flu
RSV
Strep
|
Has your urinalysis program been standardized?
|
Yes
No
Not sure
|
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
|
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
|
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
|
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
|
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
|
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?
|
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
|
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
|
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
|
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 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 |
|