Exit this survey AHTVE Survey - Translating Research into Clinical Practice 1. Participant details Please complete all the questions in order to ensure the ongoing quality of the Telehealth Virtual Education Program and to ensure that we provide topics of interest. Please note that evaluation forms must be completed to receive a certificate of attendance. Question Title * 1. How did you view this presentation Videoconference Website Question Title * 2. Name of your hospital/facility Question Title * 3. LHD Your Local Health District Central Coast Illawarra Shoalhaven Southern NSW Mid North Coast Northern NSW South Eastern Sydney Hunter New England Northern Sydney Western NSW Nepean Blue Mountains Western Sydney Far West South Western Sydney Murrumbidgee Sydney ACT SCHN N/A - not a Health employee Your Local Health District menu Question Title * 4. Name to appear on Attendance Certificate Question Title * 5. Please enter your email address Question Title * 6. Discipline Your discipline Audiologist Child life/play therapist Counsellor Dietitian Medical officer Nurse Occupational Therapist Physiotherapist Psychologist Social Worker Other Speech Pathologist Your discipline menu Other (please specify) Next