Name *

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E-mail Address *

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Overall Program *

Overall Rating of this Session

4 - Very High

3 - Significant

2- Moderate

1 - Low

Speaker - Lia Farber *

Rate our presenter

4 - Very High

3- Significant

2- Moderate

1 - Low

Speaker - Lauren Klemen *

4 - Very High

3 - Significant

2 - Moderate

1 - Low

Spealer Gordon Steinke *

Rate the speaker

4 - Very High

3 - Significant

2 - Moderate

1 - Low

Speaker - Nathan Barnett *

4 - Very High

3 - Significant

Moderate

Low

Appropriateness of Teaching Strategies *

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4 - Very High

3- Significant

2 - Moderate

1 - Low

Recommendations for Future Sessions

Recommendations for Future Sessions

Additional Comments

Please provide any additional thoughts on this session:

Do you need Nursing or Social Work CEs

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Do you need Nursing or Social Work CEs? *

Nursing

Social Work

Measurable Outcome: *

Measurable Outcome:  Ability to list 3 requirements needed to qualify for a WHV Level 5 Hospice Program.

4 - Very High

3- Significant

2 - Moderate

1 - Low

Do you plan to implement informaiton from today's presentation in to your professional practice? *

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If Yes Above, Indicate How You will Use? *

Enter required value Leadership Crtical Thinking Evidence Based Other

Has the information presented today contribured to your professional development? *

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If yes above, indicate how? *

Enter required value Leadership Other Critical Thinking