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Post-webinar Feedback Survey
Post-webinar Feedback Survey
Thank you for reviewing the training "Replacing Durable Medical Equipment & Prescription
Drugs after a Disaster: Addressing the Needs of Medicare Beneficiaries." Please take the
next few minutes to provide some feedback about the training.
* Required
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XX/XX/XXXX). This is a voluntary information collection. The time required to complete this
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1.
Role at Organization *
Mark only one oval.
Emergency planner
Caseworker
Non profit organization employee
DME supplier
Medical staff
Disaster response volunteer
Emergency responder
Other (please explain below)
2.
If your role was not listed above, please share here
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3.
Post-webinar Feedback Survey
Was the training relevant?
Mark only one oval.
1
2
3
4
5
Not at all relevant
4.
Very relevant
Was the training easy to understand?
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1
2
3
4
5
Not easy to understand
5.
Very easy to understand
Was the language used in the training easy to understand?
Mark only one oval.
1
2
3
4
Language was not easy to understnad
6.
How does this webinar add to your knowledge in your role?
7.
In particular, how did the scenarios add to your knowledge?
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5
Language was very easy to understand
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Post-webinar Feedback Survey
8.
Is there any information you feel should be added or clarified?
9.
Is there any information that was not useful or relevant?
10.
Please share any other comments, questions, or suggestions you may have.
11.
Can we contact you about your answers? (If yes, please ensure you share your
contact information below)
Mark only one oval.
Yes
No
12.
Email Address
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Post-webinar Feedback Survey
Forms
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| File Type | application/pdf |
| File Modified | 2022-11-28 |
| File Created | 2022-09-28 |