Total Joint Education Class

Thank you for watching the Kootenai Health Total Joint Education class. Please fill out the information below to prepare for your surgery. This information is required for your preparation before surgery.

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. When is your surgery?

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* 4. What is one thing you can do to make your house safer after surgery?

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* 5. What is one of the things your "coach" should do after your surgery?

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* 6. Why did you choose the online version of this class?

I live far away

I'm not comfortable attending in person

The in person class is not at a good time

Other (please specify)

Total Joint Education Class

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. When is your surgery?

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* 4. What is one thing you can do to make your house safer after surgery?

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* 5. What is one of the things your "coach" should do after your surgery?

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* 6. Why did you choose the online version of this class?

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* 7. Please rate the quality of this course.

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* 8. What could we do to make this course better?

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* 9. What questions do you still have for your care team?