Webinar Evaluation

Thank you for participating in our webinar. Please take a moment to complete this brief feedback survey. Your feedback is very important to us.
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Webinar Name*
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Webinar Date*
First Name*
Last Name*
Email*
Work Phone
I am a member of*
- NYSARH
- NERHA
- Not a member, I want to learn more
- N/A
Practice Specialty*
Primary Degree
Company*
ZIP Code*

Please rate the impact of the following course objectives.*

As a result of attending this activity, I am better able to:

	Strongly agree	Agree	Disagree	Strongly disagree
Understand the oral health disparities facing rural communities and the systemic barriers that play a role in those disparities.
Describe educational opportunities available to learn about successful models in increasing access to dental care in rural communities.

Please rate the projected impact of this activity on your knowledge, competence, performance, and patient outcomes.
* Competence is defined as the ability to apply knowledge, skills, and judgment in practice (knowing how to do something)
Yes No No Change
This activity increased my knowledge.
This activity increased my competence.
This activity improved/will improve my performance.
This activity will improve my patient outcomes.
Do you feel this activity was evidence-based?
- Yes
- No
I would recommend NYSARH/NERHA webinars to a colleague or friend.*
- Yes
- No
Why did you decide to join this webinar?
What did you like MOST about this webinar?
What did you like LEAST about this webinar?
Please suggest a future speaker, topic, or a way we could improve our webinars.
How did you hear about this webinar?
CHES/MCHES ID
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