Epic Course Evaluation Submission

Epic Training Course Evaluation

Please take a few moments to complete this survey. Your feedback will help us provide excellent training and make any necessary improvements. Thank you in advance for your participation.
Name*

First NameLast Name
ProMedica Email*
example@ProMedica.org
Epic Application*
Course Attended - Ambulatory:*
Not sure? Check with your instructor.
Course Attended - Anesthesia:*
Not sure? Check with your instructor.
Course Attended - Beacon and Research:*
Not sure? Check with your instructor.
Course Attended - Cadence:*
Not sure? Check with your instructor.
Course Attended - Beaker:*
Not sure? Check with your instructor.
Course Attended - Cardiology:*
Not sure? Check with your instructor.
Course Attended - Clinical Documentation:*
Not sure? Check with your instructor.
Course Attended - Emergency Department:*
Not sure? Check with your instructor.
Course Attended - Grand Central/Prelude:*
Not sure? Check with your instructor.
Course Attended - HIM:*
Not sure? Check with your instructor.
Course Attended - Home Health and Hospice:*
Not sure? Check with your instructor.
Course Attended - Hospital Billing:*
Not sure? Check with your instructor.
Course Attended - Inpatient Provider:*
Not sure? Check with your instructor.
Course Attended - Labor and Delivery:*
Not sure? Check with your instructor.
Course Attended - OpTime:*
Not sure? Check with your instructor.
Course Attended - Pharmacy:*
Not sure? Check with your instructor.
Course Attended - Professional Billing:*
Not sure? Check with your instructor.
Course Attended - Radiology:*
Not sure? Check with your instructor.
Course Attended - Reporting:*
Not sure? Check with your instructor.
Course Attended - Scanning:*
Not sure? Check with your instructor.
Course Attended - Single Billing Office:*
Not sure? Check with your instructor.
Course Attended - Willow Ambulatory:*
Not sure? Check with your instructor.
YesNo
Phone Number*

Area CodePhone Number
An Epic trainer will contact you in 4-6 weeks to follow-up with any questions you may have. Thank you.
Course Date*

MonthDayYear
Date of Epic course
Tell us about your instructor...

Select the following option that best represents your opinion:

Strongly Disagree (1), Disagree (2), Neutral (3), Agree (4), Strongly Agree (5)
Choose the primary course instructor:*
If you're not sure, ask!