Project ECHO Sessions

Weekly Education

As you respond to the questions below, keep in mind that these weekly sessions are 90 minutes, with the first 60 minutes being required and the remaining 30 minutes being Q&A.

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* 1. Facility Name Participating:

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* 2. Best email address to send weekly education information:

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* 3. What is your preferred day of week/time of day to attend a 90-minute ECHO session? Select up to 5 times.

	Monday	Tuesday	Wednesday	Thursday	Friday
7:00 am - 8:30 am	7:00 am - 8:30 am Monday	7:00 am - 8:30 am Tuesday	7:00 am - 8:30 am Wednesday	7:00 am - 8:30 am Thursday	7:00 am - 8:30 am Friday
8:30 am - 10:00 am	8:30 am - 10:00 am Monday	8:30 am - 10:00 am Tuesday	8:30 am - 10:00 am Wednesday	8:30 am - 10:00 am Thursday	8:30 am - 10:00 am Friday
10:00 am - 11:30 am	10:00 am - 11:30 am Monday	10:00 am - 11:30 am Tuesday	10:00 am - 11:30 am Wednesday	10:00 am - 11:30 am Thursday	10:00 am - 11:30 am Friday
11:30 am - 1:00 pm	11:30 am - 1:00 pm Monday	11:30 am - 1:00 pm Tuesday	11:30 am - 1:00 pm Wednesday	11:30 am - 1:00 pm Thursday	11:30 am - 1:00 pm Friday
1:00 pm - 2:30 pm	1:00 pm - 2:30 pm Monday	1:00 pm - 2:30 pm Tuesday	1:00 pm - 2:30 pm Wednesday	1:00 pm - 2:30 pm Thursday	1:00 pm - 2:30 pm Friday
2:30 pm - 4:00 pm	2:30 pm - 4:00 pm Monday	2:30 pm - 4:00 pm Tuesday	2:30 pm - 4:00 pm Wednesday	2:30 pm - 4:00 pm Thursday	2:30 pm - 4:00 pm Friday
4:00 pm - 5:30 pm	4:00 pm - 5:30 pm Monday	4:00 pm - 5:30 pm Tuesday	4:00 pm - 5:30 pm Wednesday	4:00 pm - 5:30 pm Thursday	4:00 pm - 5:30 pm Friday
5:30 pm - 7:00 pm	5:30 pm - 7:00 pm Monday	5:30 pm - 7:00 pm Tuesday	5:30 pm - 7:00 pm Wednesday	5:30 pm - 7:00 pm Thursday	5:30 pm - 7:00 pm Friday

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* 4. Who do you anticipate attending from your facility? (Name/Title)