Would you like to receive a certificate of completion for ADA CERP continuing dental education credit? Yes No Name Are you a dentist? Yes No What is your role? Dental Specialty (Oral surgeon, pediatric dentist, periodontist, orthodontist, endodontist, etc.) Dentist - Private Practice Dentist - Public Health Dentist - Retired Academician Dentist Dental Director What is your role? Dental student Dental hygiene student Dental Hygienist - Private Practice Dental Hygienist - Public Health Dental Therapist / Mid-Level Providers Dental Assistant Dental Office Manager Dental Office Staff (billing, reception, etc.) Physician Nurse Pharmacist DQP Faculty State Primary Care Association Dental Association Member State Dental Association Member Expanded Function Dental Hygienist C- Suite member/leader of a large dental practice Patient Advocacy Title Organization Email (Please use the same email address you used to register for the webinar.) The webinar increased my knowledge on how providers are using teledentistry in practice. Strongly Agree Agree Neutral Disagree Strongly Disagree After attending the webinar, I am able to identify components of a successful and flexible teledentistry program. Strongly Agree Agree Neutral Disagree Strongly Disagree After attending the webinar, I am able to recognize how to overcome common obstacles and misconceptions about teledentistry to recognize its full potential. Strongly Agree Agree Neutral Disagree Strongly Disagree After attending the webinar, I am able to describe how to create and manage a teledentistry program in a public or private setting. Strongly Agree Agree Neutral Disagree Strongly Disagree After attending the webinar, I am able to discuss how teledentistry can help achieve strategic aims within a practice, including expanding access to different patient populations. Strongly Agree Agree Neutral Disagree Strongly Disagree I learned something I can apply at my organization. Strongly Agree Agree Neutral Disagree Strongly Disagree Please share one thing you plan to try at your organization. How engaging did you find the webinar? Very Engaging Engaging Neutral Unengaging Very Unengaging How likely are you to recommend CareQuest Institute webinars to a colleague or friend? Very Likely Likely Neutral Unlikely Very Unlikely What topics interest you for future webinars? Is there any other feedback you want to share about this or any CareQuest Institute webinars?