Webinar Survey Questions

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Appendix A.  DPDB Generic Webinar Survey

National Practitioner Data Bank (NPDB) Webinar Registration Survey
[Webinar Title]

    1. First Name

    2. Last Name

    3. Email

    4. Phone

    5. Job Title

    6. Organization Type
        ◦ Agent Reporting/Querying
        ◦ Ambulatory Clinic/Center
        ◦ Assisted Living
        ◦ Federal Government
        ◦ FQHC/Community Health Center
        ◦ Group Medical Practice
        ◦ Health Care Practitioner
        ◦ Health Center
        ◦ Health Plan
        ◦ Hospital
        ◦ Law Enforcement Agency
        ◦ Medicaid Fraud Control Unit
        ◦ Medical Malpractice Payer
        ◦ Mental Health Facility/Center
        ◦ Nursing/Skilled Nursing Facility
        ◦ Organization Under Government Contract
        ◦ Other Health Care Entity
        ◦ Other Healthcare Services Provider
        ◦ Private Accreditation Organization
        ◦ Professional Society
        ◦ Residential Treatment Facility/Program
        ◦ State Licensing and Certification Agency
        ◦ Utilization and Quality Control Peer Review Organization


    7. Organization Name

    8. Organization State

    9. Which of the following best describes your primary role with the NPDB?
        ◦ Data Bank administrator
        ◦ Querying
        ◦ Reporting
        ◦ Other

    10. How familiar are you with the NPDB?
        ◦ Extremely
        ◦ Very
        ◦ Moderately
        ◦ Slightly
        ◦ Not 

    11. What [webinar topic] questions would you like NPDB staff to answer during the Q&A portion of the webinar? Open-ended text response

    12. Would you like to receive National Association of Medical Staff Services (NAMSS) CE?


















Appendix B.  DPDB Generic Webinar Survey

National Practitioner Data Bank (NPDB) Webinar Satisfaction Survey
[Webinar Title]


    1. Overall, how satisfied were you with the webinar?
    • Extremely satisfied
    • Satisfied
    • Neutral
    • Dissatisfied
    • Extremely dissatisfied
 
    • What made you choose this answer?  Open-ended text response

    2. To what extent did this webinar improve your knowledge of [Webinar Title] to the NPDB?
    • Greatly improved knowledge
    • Moderately improved knowledge
    • Slightly improved knowledge
    • Did not improve knowledge 

    • What made you choose this answer?  Open-ended text response

    3. To what extent did the content of the webinar meet your expectations? 
    • Completely
    • Mostly
    • Slightly 
    • Did not 

    4. Did other people join you to watch the webinar? If so, how many?
        ◦ 0
        ◦ 1-2
        ◦ 3-5
        ◦ 6-10
        ◦ 10+

    5. What aspects of the webinar did you find most beneficial or informative? Open-ended text response

    6. How would you rate the speakers’ knowledge of the topic?   
    • Excellent
    • Good
    • Average
    • Poor 

    7. How would you rate the speakers’ presentation skills?
    • Excellent
    • Good
    • Average
    • Poor 

    8. What topics most interest you for future webinars? (Please select one from below)
    • Authorized Agents
    • Compliance
    • Credentialing Software
    • Data Bank Administrator 
    • Disputes
    • Medical Malpractice Payments Reporting Requirements
    • NPDB 101
    • Querying
    • Reporting
    • Research and Data
    • State Licensure Reporting Requirements
    • User Accounts
    • Other (Please Specify)

    9. Did any elements of the webinar confuse you?  If so, please explain.  Open-ended text response.

    10. How can the NPDB improve future webinars? Open-ended text response