At the end of the series, complete this form to let us know which lectures you attended (including both Zoom Webinar virtual lectures and/or OnDemand where you watched the recorded lecture). Attendance is required for all participants. This data helps us keep the funding for this series.

*Print, Save or Screenshot this page to save a record of your answers. Once you press "Done" you will not be able to go back and view your answers. You will be routed to our website after completion for additional steps to receive attendance certificates and CE's.*

Should you have any trouble filling this out, please email nwgwec@uw.edu.

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* 1. What's your name (first and last)?

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* 2. What's your email address?

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* 4. Is your employer part of the VA? 

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* 5. What Geri-Series lectures did you attend in Winter 2023?

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* 6. Attendance Attestation

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* 7. I have earned 1.5 hours per lecture (either attended live or watched the recording online). The total hours I have earned is:

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* 8. Please let us know what your continuing education needs are (after completing, you will be routed to our website for additional steps to complete:

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* 9. Please provide any feedback you have regarding the administration of this series?

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