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* Clinic Name

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* Clinic NPI#

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* Clinic Address

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* CHDP Nurse's Name

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* Please rate the following:

  Disagree Neither Agree Nor Disagree Agree
Relevance to current job:
Met course objectives:
Audiovisuals were helpful:
Handouts were helpful
Course structure was easy to navigate:
Time to complete the course was suitable to office setting:

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* What type of training do you prefer?

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* Please make any additional comments. suggestions, or feedback to help improve our Vision Screening Training. Thank you!
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