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 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 diabetes. Strongly Agree Agree Neutral Disagree Strongly Disagree After attending the webinar, I am able to recognize the role that oral health providers can play in early detection of diabetes. Strongly Agree Agree Neutral Disagree Strongly Disagree After attending the webinar, I am able to recognize the role oral health providers can play in helping patients manage diabetes by linking them to medical care. Strongly Agree Agree Neutral Disagree Strongly Disagree After attending the webinar, I am able to discuss the need to integrate diabetes screening into oral health care. Strongly Agree Agree Neutral Disagree Strongly Disagree After attending the webinar, I am able to explain the process and workflow one oral health organization used to improve early diagnosis of diabetes among its patient population. 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?