Would you like to receive a certificate of completion for 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 Title Organization Email (Please use the same email address you used to register for the webinar.) The webinar increased my knowledge on Strongly Agree Agree Neutral Disagree Strongly Disagree After attending the webinar, I am able to Strongly Disagree Disagree Neutral Agree Strongly Agree After attending the webinar, I am able to Strongly Agree Agree Neutral Disagree Strongly Disagree After attending the webinar, I am able to Strongly Agree Agree Neutral Disagree Strongly Disagree After attending the webinar, I am able to 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? (0 = not at all likely; 10 = extremely likely) 0 1 2 3 4 5 6 7 8 9 10 What topics interest you for future webinars? Is there any other feedback you want to share about this or any CareQuest Institute webinars?