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			| First Name: |  | 
		
			| Last Name: |  | 
		
			| Email Address: |  | 
		
			| Retype Email Address: |  | 
		
			| Title: |  | 
		
			| Institution: |  | 
		
			| Phone Number: |  | 
		
			| City: |  | 
		
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			| 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 pleased with your current middleware solution? | Yes No
 
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		| Is your organization considering other middleware solutions? | Yes No
 
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		| What does your current in-house testing look like? | Respiratory only + sending out Respiratory + CBC + sending out
 Full menu in-house
 Sending everything out
 
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		| What new testing solutions are you planning to add to your in-house testing in the next 6-12 months? Please choose all that apply: | None, just here to learn Add new respiratory tests
 Add STI/ Women’s health tests
 Add infectious disease
 Other
 
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		| If you chose ‘other’ in the question above, please specify: |  | 
	
		| What is your current POCT management and integration system? | Telcor RALS/Alere/Abbott
 UniPOC
 IT1000
 Orchard Point-of-Care
 Other
 None
 
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		| Would you like additional information on other POCT management and integration software solutions? | Yes No
 
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		| Would you like to receive ASCLS PACE credit for this session, program number 174-013-25? (If no, you do not need to complete the following questions.) | Yes No
 
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		|   To receive ASCLS PACE credit (PACE Program number 174-013-25, California Agency #0001) for "The Effect of Specimen Transport Conditions on Clinical Laboratory Testing" presented on May 13, 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? | 
| List current challenges in transporting samples from an offsite collection facility to the central, clinical laboratory. (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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	| Describe the need for standard instructions for external sample transport. (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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	| Identify resources that could be implemented in mitigating errors in this portion of the preanalytical phase of the total testing process. (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. | 
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 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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