May 11, 2017 Webinar Evaluation Form

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 info@whea.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 bruvold@sbcglobal.net. Upon receipt of this completed evaluation form, you will be sent your certificate of attendance. Thank you. 

WEBINAR:

“Grounds/Rounding

Environmental Impacts”

5/11/17

Name:

     

Title:

     

Facility:

     

Facility Address:

     

City:      

State:      

Zip:      

Email: (required)

     

 

PROGRAM

BAD

POOR

FAIR

GOOD

GREAT

  1. Please rate the program overall.
         
  1. Did the program meet your expectations?
         
  1. Will this program help you in your job?
         

Additional Comments:

     

 

SPEAKERS

BAD

POOR

FAIR

GOOD

GREAT

  1. Please rate the instructor/s overall.
         
  1. Were there adequate opportunities for you to participate?
         

Additional Comments:

     

 

EDUCATION COMMITTEE

BAD

POOR

FAIR

GOOD

GREAT

  1. The brochure represented the program content.
         
  1. I was adequately notified about this program.
         
  1. The quantity of educational opportunities provided is:
         
  1. The overall quality of education programs provided is:
         

Additional Comments: 

     

 

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: