Form 1 National Practitioner Data Bank (NPDB) Webcast Survey

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

INSTRUMENT

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 Created2021-01-13

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