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Pulmonary Rehab Webinar Survey

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Attendee's Name
First Last
Attendee's State of Residence
AARC# (if applicable)
Email
Date of Session*
MM slash DD slash YYYY
Please email me a certificate of attendance*
- yes
Learner's achievement of each objective. Rate each on a scale of 1=low, 5=high.
Objective 1. Define Pulmonary Rehabilitation*
- 1
- 2
- 3
- 4
- 5
Objective 2. Understand the history of Pulmonary Rehabilitation*
- 1
- 2
- 3
- 4
- 5
Objective 3. Identify appropriate patient types, key components*
- 1
- 2
- 3
- 4
- 5
Objective 4. Identify key clinical members and outcomes*
- 1
- 2
- 3
- 4
- 5
Purpose/Goal of this activity
Define a clear understanding of the importance of a strong Pulmonary Rehab community program as it relates to overall cost of care and quality of life in high risk respiratory patients.
Relationship of objectives to overall Purpose/Goal of this activity.
- 1
- 2
- 3
- 4
- 5
Presenter Name: Jodi Fisher, BS, RRT/ COPD Educator
Expertise of presenter*
- 1
- 2
- 3
- 4
- 5
Appropriateness of teaching strategies*
- 1
- 2
- 3
- 4
- 5
If conflict of interest, off-label use, commercial support, or in-kind support were evident in the education component of this program, were you notified?*
- N/A- not applicable to any of the above
- Yes
- No
Comments
Content was presented without bias of any commercial product or drug.*
- Yes
- No
Comments
Will the information you gained from attending this program change your practice?*
- Yes
- No
Comments
Additional comments or suggestions