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To receive a certificate of attendance for the May webinar you can either open the link, fill out the form and email it back to email@example.com. Or you can print out the form below, fill it out and scan it and email it back to me.
Click here for online version of evaluation form.
Wisconsin Healthcare Engineering Association Education Program Evaluation Sheet
To receive your certificate of attendance, please fill out the evaluation below, attach to an email and send to firstname.lastname@example.org. Upon receipt of this completed evaluation form, you will be sent your certificate of attendance. Thank you.
1.) What part of today’s program was the most beneficial for you and why?
2.) What part of today’s program was least beneficial for you and why?
3.) How could this program be improved?
4.) What about this program can you take back to your facility and implement immediately?
5.) What future programs would you like to see from the WHEA’s Education Committee?
6.) If we presented the programs you suggested, at what level do you feel it would help you the most?
Basic Level Intermediate Level Advanced Level
7.) How many people did you have sitting in on this web conference?
1-5 5-10 10-20 20 +
7.) Please feel free to provide additional comments or suggestions here.
The Wisconsin Healthcare Engineering Association is an affiliated chapter of:
Wisconsin Healthcare Engineering Association (WHEA) | P.O. Box 1782, Appleton, WI 54912 | 920.570.4081 | email@example.com
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