Form 1 National Practitioner Data Bank (NPDB) Webcast Survey

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

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Division of Practitioner Data Bank (DPDB) Feedback and Satisfaction Surveys

OMB: 0915-0212

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DPDB Generic Webcast Survey


National Practitioner Data Bank (NPDB) Webcast Survey

[Webcast Title]



  1. Overall, how satisfied were you with the webcast?

    • Extremely satisfied

    • Satisfied

    • Neutral

    • Dissatisfied

    • Extremely dissatisfied

  1. Please comment on your response to the previous question. Open-ended text response


  1. To what extent did this webcast improve your knowledge of [Webcast Title]?

    1. Greatly improved knowledge

    2. Moderately improved knowledge

    3. Slightly improved knowledge

    4. Did not improve knowledge


  1. Please comment on your response to the previous question. Open-ended text response


  1. What were the most helpful parts of the webcast? Open-ended text response

  2. Were any items of the webcast confusing? If so, please explain. Open-ended text response


  1. Was content missing from the webcast that would have been helpful to you? If so, please explain. Open-ended text response

  2. Was a webcast the best way to learn about this subject matter, or would you have preferred another format (if so, please specify format)? Open-ended text response

  3. How can the NPDB improve future webcasts? Open-ended text response


  1. What topics should be the focus of future webcasts? Open-ended text response



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleGENERIC - Supporting Statement Template
AuthorJodi.Duckhorn
File Modified0000-00-00
File Created2021-01-15

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