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Name of Facility:
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Department:
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Address of Facility:
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Title:
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Dates of Inservice:
Type of Inservice:
Initial Training
Re-training for New staff
Follow-up
Other
Clinical Education Representative:
Products Inserviced:
Hold the Control or Command key down to select multiple Products
Spectrum
Passport 2
Trio
Accutorr Plus
Duo
Radical
Panorama
Gas Module SE
Anestar S
Anestar Plus
Below is a list of statements regarding your educational experience with Datascope Corp. Please indicate the level of agreement with each statement regarding the Clinical Education Representative’s performance. While a Clinical Representative may have been to your facility prior to this visit, please indicate the level of agreement on each statement for this visit. A comment area is included below each statement for any additional information you would like to provide.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My overall inservicing objectives were met.
Comments:
The amount of time and number of days for the inservices were sufficient and appropriate to meet my inservicing objectives.
Comments:
The Clinical Education Representative provided adequate “hands-on” training and provided adequate time to answer our questions.
Comments:
The Clinical Education Representative was knowledgeable about the inserviced products.
Comments:
The system’s settings were discussed with me and/or staff and the system was configured properly to meet our department’s needs.
Comments:
All the equipment needed for a successful inservicing experience was present.
Comments:
I was very pleased with the overall education experience provided by Datascope Corp.
Comments:
I was informed of the additional telephone support Datascope Corp. provides.
Comments:
I was provided with additional educational materials and I was informed of the additional Clinical Support material available on Datascope’s webpage.
Comments:
