Provider Evaluation Form

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How easy was the educational lesson on preventative airborne allergens to navigate?

Very Easy

Easy

Moderate Easy

Not Easy At All

How comfortable do you feel with the educational lesson on preventative airborne allergens at home?

Very Comfortable

Comfortable

Moderately Comfortable

Not Comfortable At All

How long did the educational study take you to complete and understand?

Under 1 Hour

1 Hour to 1.5 Hours

1.5 Hour to 2 Hours

More than 2.5 Hours

Will you use this educational lesson with your patients during patient care or for discharge education to take home?

Yes 

No