We endeavor to provide the most effective and meaningful education to our members, insureds and HQI Cares partners. As a participant in the recent BETA HEART Workshop II, we would sincerely appreciate your insight and feedback regarding this event.

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* 1. Please select your facility name from the drop down list below

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* 2. If "Other" selected from above, please name your organization:

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* 3. LAST Name

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* 4. FIRST Name

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* 5. Email Address

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* 6. Was this your first time attending this workshop?

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* 7. Attendance and completion of this online evaluation are required to receive continuing education credit for this workshop.
Please select all that apply to you.

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