Post-Training Survey, The Past is Present
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1.
Would you recommend this training to others?
(Required.)
Yes
No
Not sure
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2.
Has your understanding of the topic improved after this training?
(Required.)
Yes
No
Not sure
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3.
Which of the following best describes your professional role?
(Required.)
Physician
Physician assistant
Advanced practice nurse (e.g., nurse practitioner)
Registered nurse (RN)
Licensed practical nurse (LPN)
Nursing/medical assistant
Dentist/dental hygienist
Technician (e.g. radiology, surgical, pharmacy)
Therapist (e.g. physical, occupational, respiratory)
Pharmacist
Environmental/facility services (e.g. EVS staff, facility managers, facility engineers)
Social and community services (e.g., social workers, community health workers, residential/outpatient mental health treatment staff)
Healthcare administrator (e.g. clinical or hospital directors, CEOs)
Non-clinical staff (e.g. HR personnel, marketing/communications staff, quality/patient safety staff, clerical staff)
Emergency medical technician/paramedic
Laboratory staff
Public health professional
Other (please specify)
4.
How long (in years) have you been out of residency? If it has been less than 1, please enter 0. [Physicians Only]
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5.
Which of the following best describe your workplace?
(Required.)
Acute care hospital
Critical access hospital
Long-term acute care hospital or inpatient rehabilitation facility
Skilled nursing facility (nursing home)
Assisted living facility
Pharmacy
Dental facility
Home health
Health department
Dialysis facility (outpatient)
Outpatient/ambulatory care - not dialysis (e.g. medical, surgical, behavioral health clinic)
Other (please specify)
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6.
In which state, territory, or IHS region do you work?
(Required.)
IHS area - national
IHS area - Alaska
IHS area - Albuquerque
IHS area - Bemidji
IHS area - Billings
IHS area - California
IHS area - Great Plains
IHS area - Nashville
IHS area - Navajo
IHS area - Oklahoma
IHS area - Phoenix
IHS area - Portland
IHS area - Tucson
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Marshall Islands
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
N/A: Outside of the US
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7.
Rate the quality of this course
(Required.)
1 - low quality
2
3
4
5 - high quality
1 - low quality
2
3
4
5 - high quality