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Effective Approaches to Standardization and Implementation of Smart PumpTechnology
Continuing Education Self-Assessment Questions

1. In the appropriate boxes below, please enter your name, as you would like it to appear on your certificate. Thank you.

Name: (Required)
Email Address : (Required)
Address:* (Required)
City, State and Zip: (Required)
Phone :
Type of Practice :
States Licensed In:

*Please be sure to include the address you would like the certificate mailed to.

2. Please rate each comment 1-5 using the following scale:
1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree

The program was clear and to the point
1 2 3 4 5
The content was interesting to me
1 2 3 4 5
The information will be useful to my practice
1 2 3 4 5
The content added to my knowledge of the topic
1 2 3 4 5

3. Any Other Comments




 
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