Healthcare Delivery Research Program (HRDP) Webinar Survey

Form Approved

OMB No. 0990-0379

Exp. Date: 08/31/2017

HDRP Webinar Series Customer Feedback Survey

Thank you for participating in our webinar. Please take a moment to complete this brief feedback survey.

1. Please describe your role

2. How well did the webinar meet your expectations?

   1. Met

   2. Neutral

   3. Not met

3. The webinar provided opportunities for active participation

   1. Agree

   2. Neutral

   3. Disagree

4. How relevant was this webinar to your work and research?

   1. Relevant

   2. Neutral

   3. Not relevant

5. The topics covered were relevant to my research/research at my site

   1. Strongly Disagree

   2. Disagree

   3. Agree

   4. Strongly Agree

6. Overall, I found this webinar to be a good use of time

   1. Yes

   2. No

7. The presentations increased my understanding of the topic

   1. Strongly Disagree

   2. Disagree

   3. Agree

   4. Strongly Agree

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379. The time required to complete this information collection is estimated to average 5 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, to review and complete the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer

8. The discussion session provided an opportunity to learn challenges and/or effective strategies of the topic

   1. Strongly Disagree

   2. Disagree

   3. Agree

   4. Strongly Agree

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