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What is the name of your Facility?


 
 
 
What is your current Role?

RN___
Tech___
Manager___
GI Physician___
Surgeon___
 
 
 
 
Have you ever had a specific Sedation Training Course?

Yes ___                    No ___
 
 
 
 
Did you find the on line Safe Sedation Training useful?

Yes ___      No ____

If No Explain ___________________
 
 
 
 
Did you find the on line Device Training useful?

Yes____ No_____

If No Explain______________
 
 
 
 
Did the on site Instructor Led Training provide you with the appropriate knowledge base to operate the SEDASYS System?

Yes____ No _____

If NO Explain__________
 
 
 
 
Did the Clinical Integration Team provide sufficient support for a successful integration of SEDASYS?

Yes____ No_____

If No Explain___________
 
 
 
 
Did the Clinical Team provide appropriate support during Case Observation?

Yes____ No____

If No Explain_____________
 
 
 
 
Did the Clinical Team provide sufficient opportunity for questions regarding SEDASYS operation?

Yes____ No_____

If NO Explain__________
 
 
 
 
Please provide an overall evaluation score for the SEDASYS Training provided by the Clinical Team. 
Scoring:1-5 (1= Poor; 5= Excellent)

Score_______

Any Suggestions for enhancing SEDASYS Training:______________________________________
 
 
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