app.cpraedcourse.com
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2606:4700:3108::ac42:2b5c
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Submitted URL: https://app.cpraedcourse.com/e/lsyrnq
Effective URL: https://app.cpraedcourse.com/dashboard?version=v3&utm_source=PipeDrive&utm_medium=Email&utm_campaign=Corporate%20User
Submission Tags: falconsandbox
Submission: On May 29 via api from US — Scanned from DE
Effective URL: https://app.cpraedcourse.com/dashboard?version=v3&utm_source=PipeDrive&utm_medium=Email&utm_campaign=Corporate%20User
Submission Tags: falconsandbox
Submission: On May 29 via api from US — Scanned from DE
Form analysis 4 forms found in the DOM
POST https://app.cpraedcourse.com/download/certificate//true
<form action="https://app.cpraedcourse.com/download/certificate//true" method="post" accept-charset="utf-8" id="frm_certificate" target="_blank" novalidate="novalidate">
<div class="item-form form-validate">
<select data-role="none" class="skip" id="is_healthcare" name="is_healthcare">
<option value="">Select Profession Type</option>
<option value="0">Non-Healthcare </option>
<option value="1">Healthcare </option>
</select>
<div class="icon-fa-arrown-heal"><i class="fa-solid fa-angle-down fa-arrow"></i></div>
<p class="form-error form-error-thankyou"></p>
</div>
<div class="item-form form-validate">
<select data-role="none" class="skip" id="select_industry" name="industry">
<option value="">Select Industry</option>
<option value="138" data-type="non_healthcare" style="display: none;">Education - Teachers & Coaches</option>
<option value="139" data-type="non_healthcare" style="display: none;">Construction / Industrial / Manufacturing</option>
<option value="3" data-type="non_healthcare" style="display: none;">Agricultural / Farming</option>
<option value="4" data-type="non_healthcare" style="display: none;">Assisted Living / Nursing Homes</option>
<option value="140" data-type="non_healthcare" style="display: none;">Childcare / Day Care / Foster Care / Adoption</option>
<option value="141" data-type="non_healthcare" style="display: none;">Hospitality</option>
<option value="7" data-type="non_healthcare" style="display: none;">Communications / Technology</option>
<option value="143" data-type="non_healthcare" style="display: none;">Financial Services/ Banking / Insurance / Consulting</option>
<option value="144" data-type="non_healthcare" style="display: none;">Aerospace / Automotive</option>
<option value="11" data-type="non_healthcare" style="display: none;">Fitness / Wellness Centers</option>
<option value="145" data-type="non_healthcare" style="display: none;">Retail / Shopping</option>
<option value="146" data-type="non_healthcare" style="display: none;">Staffing Agency / Recruiter</option>
<option value="147" data-type="non_healthcare" style="display: none;">Logistics / Freight Services / Transportation</option>
<option value="148" data-type="non_healthcare" style="display: none;">Maintenance / Utilities / Landscaping</option>
<option value="17" data-type="non_healthcare" style="display: none;">Government / Law Enforcement / Military</option>
<option value="161" data-type="non_healthcare" style="display: none;">Marketing & Promotions /Printing and Marketing Services</option>
<option value="24" data-type="non_healthcare" style="display: none;">Churches / Charities & Non Profit Organizations</option>
<option value="164" data-type="non_healthcare" style="display: none;">Other</option>
<option value="other" data-type="non_healthcare" id="industry_other_non_healthcare" style="display: none;">Other</option>
<option value="149" data-type="is_healthcare" style="display: none;">Doctor / Physicians</option>
<option value="150" data-type="is_healthcare" style="display: none;">Nursing / Nursing Assistant</option>
<option value="151" data-type="is_healthcare" style="display: none;">Dental Services</option>
<option value="152" data-type="is_healthcare" style="display: none;">Laboratory Services</option>
<option value="153" data-type="is_healthcare" style="display: none;">Emergency Medical Technician</option>
<option value="154" data-type="is_healthcare" style="display: none;">Pharmacist</option>
<option value="155" data-type="is_healthcare" style="display: none;">Physical Therapy Services</option>
<option value="156" data-type="is_healthcare" style="display: none;">Mental Health Services</option>
<option value="157" data-type="is_healthcare" style="display: none;">Chiropractor / Masage Threrapy</option>
<option value="158" data-type="is_healthcare" style="display: none;">Home Health Aide</option>
<option value="159" data-type="is_healthcare" style="display: none;">Optician Services</option>
<option value="160" data-type="is_healthcare" style="display: none;">Obstetrician Services</option>
<option value="162" data-type="is_healthcare" style="display: none;">Hospital Admin / Healthcare Facility Staff</option>
<option value="163" data-type="is_healthcare" style="display: none;">Occupational Therapy Services</option>
<option value="165" data-type="is_healthcare" style="display: none;">Other</option>
<option value="other" data-type="is_healthcare" id="industry_other_non_healthcare" style="display: none;">Other</option>
</select>
<div class="icon-fa-arrown-heal"><i class="fa-solid fa-angle-down fa-arrow"></i></div>
<p class="form-error form-error-thankyou"></p>
</div>
<div class="item-form form-validate" id="other_industry">
<input data-role="none" type="text" id="input_other_industry" name="other_industry" maxlength="255" placeholder="Name of the other industry">
<p class="form-error form-error-thankyou"></p>
</div>
<div class="item-form form-validate">
<input data-role="none" type="text" name="company_name" maxlength="255" placeholder="Employer company name">
<p class="form-error form-error-thankyou"></p>
</div>
<div class="item-form form-validate">
<input data-role="none" type="text" name="full_name" maxlength="255" placeholder="Employer full name">
<p class="form-error form-error-thankyou"></p>
</div>
<div class="item-form form-validate">
<input data-role="none" type="email" name="company_email" maxlength="255" placeholder="Employer email">
<p class="form-error form-error-thankyou"></p>
</div>
<div class="item-form form-validate">
<input data-role="none" type="text" name="company_phone" maxlength="28" placeholder="Employer phone" onkeypress="return isNumberKey(event)">
<p class="form-error form-error-thankyou"></p>
</div>
<div class="item-form form-validate">
<input data-role="none" type="text" name="company_website" maxlength="255" placeholder="Employer website">
<p class="form-error form-error-thankyou"></p>
</div>
<div class="item-form form-validate">
<div>
<p class="label_own_aed_device">Does your facility own an AED device?</p>
<div class="flex aed_option_container">
<div class="flex_center">
<input name="is_own_aed_device" type="radio" value="1" class="custom_radio">
<p class="option_own_aed_device_label">Yes</p>
</div>
<div class="flex_center second-child">
<input name="is_own_aed_device" type="radio" value="0" class="custom_radio" checked="">
<p class="option_own_aed_device_label">No</p>
</div>
</div>
</div>
</div>
<div class="item-form">
<div class="item-form-button">
<button data-role="none" type="button" id="submit_questionnaire" class="submit_questionnaire"> Download Certificate </button>
</div>
</div>
<input type="hidden" value="" name="email_ce" id="email_ce">
<input type="hidden" value="" name="course_id_cer" id="course_id_cer">
<input type="hidden" value="" name="quiz_attempt_id" id="quiz_attempt_id">
</form>POST https://app.cpraedcourse.com/thankyou/createCertificateContinuingEducation
<form action="https://app.cpraedcourse.com/thankyou/createCertificateContinuingEducation" method="post" accept-charset="utf-8" id="frm_evaluation" target="_blank">
<div class="Questions">
<input data-role="none" type="hidden" name="questions[0][title]" value="What are your credentials?">
<p class="lbl_question">1. What are your credentials?</p>
<div>
<label class="lbl_qus0"><input data-role="none" type="radio" name="questions[0][value]" value="AMA">AMA </label>
<label class="lbl_qus0"><input data-role="none" type="radio" name="questions[0][value]" value="ANCC">ANCC</label>
<label class="lbl_qus0"><input data-role="none" type="radio" name="questions[0][value]" value="ACPE">ACPE</label>
<label class="lbl_qus0"><input data-role="none" type="radio" name="questions[0][value]" value="AGD">AGD</label>
<label class="lbl_qus0"><input data-role="none" type="radio" name="questions[0][value]" id="ques_0_value" value="other">Other</label>
<textarea name="questions[0][answer]" class="hide" id="ques_0_answer" maxlength="256" placeholder="please explain here.."></textarea>
</div>
</div>
<div id="AMA-ANCC">
<div class="Questions">
<input data-role="none" type="hidden" name="questions[1][title]" value="Please select the extent to which you agree/disagree that the activity supported
the achievement of each learning objective?">
<p class="lbl_question">2. Please select the extent to which you agree/disagree that the activity supported the achievement of each learning objective?</p>
<table style="width: 98%; border-collapse: collapse;" id="question_AMA_ANCC">
<thead>
<tr>
<th>Objective</th>
<th class="th_qus1">Strongly Agree</th>
<th class="th_qus1">Agree</th>
<th class="th_qus1">Neutral</th>
<th class="th_qus1">Disagree</th>
<th class="th_qus1">Strongly Disagree</th>
</tr>
</thead>
<tbody>
<tr>
<td class="td_question1"> Recognize when there is a victim of cardiac arrest. <input data-role="none" type="hidden" name="questions[1][value][1][title]" value="Recognize when there is a victim of cardiac arrest">
</td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][1][value]" value="5">5</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][1][value]" value="4">4</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][1][value]" value="3">3</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][1][value]" value="2">2</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][1][value]" value="1">1</span></td>
</tr>
<tr>
<td class="td_question1"> Identify when a person may be choking. <input data-role="none" type="hidden" name="questions[1][value][2][title]" value="Identify when a person may be choking">
</td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][2][value]" value="5">5</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][2][value]" value="4">4</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][2][value]" value="3">3</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][2][value]" value="2">2</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][2][value]" value="1">1</span></td>
</tr>
<tr>
<td class="td_question1"> Assess the scene for responder safety. <input data-role="none" type="hidden" name="questions[1][value][3][title]" value="Assess the scene for responder safety">
</td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][3][value]" value="5">5</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][3][value]" value="4">4</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][3][value]" value="3">3</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][3][value]" value="2">2</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][3][value]" value="1">1</span></td>
</tr>
<tr>
<td class="td_question1"> React immediately by activating emergency response systems - call 9-1-1. <input data-role="none" type="hidden" name="questions[1][value][4][title]"
value="React immediately by activating emergency response systems">
</td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][4][value]" value="5">5</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][4][value]" value="4">4</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][4][value]" value="3">3</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][4][value]" value="2">2</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][4][value]" value="1">1</span></td>
</tr>
<tr>
<td class="td_question1"> Begin chest compressions on unconscious adult, child or infant in cardiac arrest. <input data-role="none" type="hidden" name="questions[1][value][5][title]"
value="Begin chest compressions on unconscious adult child or infant in cardiac arrest">
</td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][5][value]" value="5">5</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][5][value]" value="4">4</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][5][value]" value="3">3</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][5][value]" value="2">2</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][5][value]" value="1">1</span></td>
</tr>
<tr>
<td class="td_question1"> Follow depth of chest compression and rescue breath guidelines while responding. <input data-role="none" type="hidden" name="questions[1][value][6][title]"
value="Follow depth of chest compression and rescue breath guidelines while responding">
</td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][6][value]" value="5">5</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][6][value]" value="4">4</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][6][value]" value="3">3</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][6][value]" value="2">2</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][6][value]" value="1">1</span></td>
</tr>
<tr>
<td class="td_question1"> Assist individuals who need assistance in basic first aid emergencies. <input data-role="none" type="hidden" name="questions[1][value][7][title]"
value="Assist individuals who need assistance in basic first aid emergencies">
</td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][7][value]" value="5">5</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][7][value]" value="4">4</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][7][value]" value="3">3</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][7][value]" value="2">2</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][7][value]" value="1">1</span></td>
</tr>
<tr>
<td class="td_question1"> Use an AED device following standardized guidelines. <input data-role="none" type="hidden" name="questions[1][value][8][title]" value="Use an AED device following standardized guidelines">
</td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][8][value]" value="5">5</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][8][value]" value="4">4</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][8][value]" value="3">3</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][8][value]" value="2">2</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][8][value]" value="1">1</span></td>
</tr>
</tbody>
</table>
</div>
<div class="Questions">
<input data-role="none" type="hidden" name="questions[2][title]" value="Based upon your participation in this activity, do you intend to change your practice behavior?">
<p class="lbl_question">3. Based upon your participation in this activity, do you intend to change your practice behavior?</p>
<div>
<div><label><input data-role="none" type="radio" name="questions[2][value]" id="questions" value="I do plan to implement changes in my practice based on the information presented">I do plan to implement changes in my practice based on the
information presented</label></div>
<div><label><input data-role="none" type="radio" name="questions[2][value]" id="questions" value="My current practice has been reinforced by the information presented">My current practice has been reinforced by the information
presented</label></div>
<div><label><input data-role="none" type="radio" name="questions[2][value]" id="questions" value="I need more information before I will change my practice">I need more information before I will change my practice</label></div>
</div>
</div>
<div class="Questions">
<input data-role="none" type="hidden" name="questions[3][title]" value="How confident are you that you will be able to make your intended changes?">
<p class="lbl_question">4. How confident are you that you will be able to make your intended changes?</p>
<div>
<label class="ques_3"><input data-role="none" type="radio" name="questions[3][value]" value="Very confident">Very confident</label>
<label class="ques_3"><input data-role="none" type="radio" name="questions[3][value]" value="Somewhat confident">Somewhat confident</label>
<label class="ques_3"><input data-role="none" type="radio" name="questions[3][value]" value="Unsure">Unsure</label>
<label class="ques_3"><input data-role="none" type="radio" name="questions[3][value]" value="Not confident">Not confident</label>
</div>
</div>
<div class="Questions">
<input data-role="none" type="hidden" name="questions[4][title]" value="Which of the following do you anticipate will be the primary barrier to implementing these changes?">
<p class="lbl_question">5. Which of the following do you anticipate will be the primary barrier to implementing these changes</p>
<div class="lbl_left">
<div><label><input data-role="none" type="checkbox" name="questions[4][value][]" "="" value=" Formulary restrictions" id="ques_4_0">Formulary restrictions</label></div>
<div><label><input data-role="none" type="checkbox" name="questions[4][value][]" "="" value=" Time constraints" id="ques_4_1">Time constraints</label></div>
<div><label><input data-role="none" type="checkbox" name="questions[4][value][]" "="" value=" System constraints" id="ques_4_2">System constraints</label></div>
<div><label><input data-role="none" type="checkbox" name="questions[4][value][]" "="" value=" Patient adherence compliance" id="ques_4_3">Patient adherence/compliance</label></div>
</div>
<div class="lbl_left">
<div><label><input data-role="none" type="checkbox" name="questions[4][value][]" "="" value=" Insurance financial issues" id="ques_4_4">Insurance/financial issues</label></div>
<div><label><input data-role="none" type="checkbox" name="questions[4][value][]" "="" value=" Lack of interprofessional team support" id="ques_4_5">Lack of interprofessional team support</label></div>
<div><label><input data-role="none" type="checkbox" name="questions[4][value][]" "="" value=" Treatment related adverse events" id="ques_4_6">Treatment related adverse events</label></div>
<div><label><input data-role="none" type="checkbox" name="questions[4][value][]" data-target-id="ques_4_other" "="" value=" Other please specify" id="ques_4_7">Other, please specify</label></div>
</div> <textarea name="questions[4][answer]" class="ques_4_other hide" id="ques_4_other" maxlength="256" placeholder="Please specify...."></textarea>
</div>
<div class="Questions">
<input data-role="none" type="hidden" name="questions[5][title]" value="Was the content of this activity fair, balanced, objective and free of bias?">
<p class="lbl_question">6. Was the content of this activity fair, balanced, objective and free of bias?</p>
<div>
<label class="lbl_qus5"><input data-role="none" type="radio" name="questions[5][value]" value="Yes">Yes </label>
<label class="lbl_qus5"><input data-role="none" type="radio" name="questions[5][value]" id="ques_5_value" value="No">No, please explain:</label>
<textarea name="questions[5][answer]" class="hide" id="ques_5_answer" maxlength="256" placeholder="please explain here.."></textarea>
</div>
</div>
</div>
<div id="ACPE" style="display: none;">
<div class="Questions" style="clear: both;">
<input data-role="none" type="hidden" name="questions[11][title]" value="Action">
<input data-role="none" type="hidden" name="questions[11][value]" checked="" class="acpe" value="I">
<input data-role="none" type="hidden" name="questions[12][title]" value="NABP_ePID">
<p class="lbl_question">2. NABP ePID</p>
<div>
<input data-role="none" type="text" class="acpe" style="width: 290px;" onkeypress="return validateNumber(event)" placeholder="Please insert 10 numeric digits" value="" maxlength="10" name="questions[12][value]">
</div>
</div>
<div class="Questions" style="clear: both;">
<input data-role="none" type="hidden" name="questions[13][title]" value="DOB">
<p class="lbl_question">3. DOB</p>
<div>
<input data-role="none" class="acpe" type="text" style="display:none;" id="Date_Of_DOB" placeholder="MM/DD" value="" name="questions[13][value]">
<input data-role="none" class="" id="DOB_month" type="number" min="01" max="12" step="1" maxlength="2" onfocusout="formatDayAndMonth(this);" onkeypress="if(this.value.length==2) return false; validateMonthLenght(this);" placeholder="MM"
value="" name="questions[13][month]"> / <input data-role="none" class="" id="DOB_date" type="number" min="01" max="31" step="1" maxlength="2" onfocusout="formatDayAndMonth(this);"
onkeypress="if(this.value.length==2) return false; validateDayLenght(this);" placeholder="DD" value="" name="questions[13][day]">
</div>
</div>
<div class="Questions" style="clear: both;">
<input data-role="none" type="hidden" name="questions[14][title]" value="ACPE_UAN">
<p class="lbl_question">4. ACPE UAN (must match exactly to what appears on the Activity Description Form, ADF, you receive from clinical)</p>
<div>
<input data-role="none" type="text" class="acpe" value="" name="questions[14][value]" style="width: 290px;" maxlength="10" placeholder="Enter activity description">
</div>
</div>
<div class="Questions" style="clear: both;">
<input data-role="none" type="hidden" name="questions[15][title]" value="Date_Of_Participation">
<p class="lbl_question">5. Date Of Participation</p>
<div>
<input data-role="none" class="acpe" type="text" style="pointer-events: none;" id="Date_Of_Participation" placeholder="MM/DD/YYYY" value="05/29/2024" name="questions[15][value]">
</div>
</div>
</div>
<div id="AGD" style="display: none;">
<div class="Questions" style="clear: both;">
<input data-role="none" type="hidden" name="questions[16][title]" value="AGD Member ID Number">
<p class="lbl_question">2. AGD Member ID Number: </p>
<div>
<input data-role="none" class="" maxlength="6" type="text" placeholder="Up to 6 characters" value="" name="questions[16][value]">
</div>
</div>
<div class="Questions" style="clear: both;">
<input data-role="none" type="hidden" name="questions[17][title]" value="Profession">
<p class="lbl_question">3. Profession: </p>
<div class="select-profession">
<select data-role="none" name="questions[17][value]" id="select-profession" onchange="loadTextareaProfession($(this),'#area-profession')">
<option value=""> Select profession </option>
<option value="Dentist"> Dentist </option>
<option value="Hygienist"> Hygienist </option>
<option value="Specialist"> Specialist </option>
<option value="Assistant"> Assistant </option>
<option value="Other"> Other </option>
</select>
<input data-role="none" type="hidden" name="questions[18][title]" value="other-profession">
<textarea id="area-profession" name="questions[18][value]" placeholder="Other..." cols="30" rows="3" maxlength="10"></textarea>
</div>
</div>
<div class="Questions">
<input data-role="none" type="hidden" name="questions[1][title]" value="Please select the extent to which you agree/disagree that the activity supported
the achievement of each learning objective?">
<p class="lbl_question">4. Please select the extent to which you agree/disagree that the activity supported the achievement of each learning objective?</p>
<table style="width: 98%; border-collapse: collapse;" id="question_AGD">
<thead>
<tr>
<th>Objective</th>
<th class="th_qus1">Strongly Agree</th>
<th class="th_qus1">Agree</th>
<th class="th_qus1">Neutral</th>
<th class="th_qus1">Disagree</th>
<th class="th_qus1">Strongly Disagree</th>
</tr>
</thead>
<tbody>
<tr>
<td class="td_question1"> Recognize when there is a victim of cardiac arrest. <input data-role="none" type="hidden" name="questions[1][value][1][title]" value="Recognize when there is a victim of cardiac arrest" disabled="">
</td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][1][value]" value="5" disabled="">5</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][1][value]" value="4" disabled="">4</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][1][value]" value="3" disabled="">3</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][1][value]" value="2" disabled="">2</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][1][value]" value="1" disabled="">1</span></td>
</tr>
<tr>
<td class="td_question1"> Identify when a person may be choking. <input data-role="none" type="hidden" name="questions[1][value][2][title]" value="Identify when a person may be choking" disabled="">
</td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][2][value]" value="5" disabled="">5</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][2][value]" value="4" disabled="">4</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][2][value]" value="3" disabled="">3</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][2][value]" value="2" disabled="">2</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][2][value]" value="1" disabled="">1</span></td>
</tr>
<tr>
<td class="td_question1"> Assess the scene for responder safety. <input data-role="none" type="hidden" name="questions[1][value][3][title]" value="Assess the scene for responder safety" disabled="">
</td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][3][value]" value="5" disabled="">5</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][3][value]" value="4" disabled="">4</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][3][value]" value="3" disabled="">3</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][3][value]" value="2" disabled="">2</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][3][value]" value="1" disabled="">1</span></td>
</tr>
<tr>
<td class="td_question1"> React immediately by activating emergency response systems - call 9-1-1. <input data-role="none" type="hidden" name="questions[1][value][4][title]"
value="React immediately by activating emergency response systems" disabled="">
</td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][4][value]" value="5" disabled="">5</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][4][value]" value="4" disabled="">4</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][4][value]" value="3" disabled="">3</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][4][value]" value="2" disabled="">2</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][4][value]" value="1" disabled="">1</span></td>
</tr>
<tr>
<td class="td_question1"> Begin chest compressions on unconscious adult, child or infant in cardiac arrest. <input data-role="none" type="hidden" name="questions[1][value][5][title]"
value="Begin chest compressions on unconscious adult child or infant in cardiac arrest" disabled="">
</td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][5][value]" value="5" disabled="">5</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][5][value]" value="4" disabled="">4</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][5][value]" value="3" disabled="">3</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][5][value]" value="2" disabled="">2</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][5][value]" value="1" disabled="">1</span></td>
</tr>
<tr>
<td class="td_question1"> Follow depth of chest compression and rescue breath guidelines while responding. <input data-role="none" type="hidden" name="questions[1][value][6][title]"
value="Follow depth of chest compression and rescue breath guidelines while responding" disabled="">
</td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][6][value]" value="5" disabled="">5</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][6][value]" value="4" disabled="">4</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][6][value]" value="3" disabled="">3</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][6][value]" value="2" disabled="">2</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][6][value]" value="1" disabled="">1</span></td>
</tr>
<tr>
<td class="td_question1"> Assist individuals who need assistance in basic first aid emergencies. <input data-role="none" type="hidden" name="questions[1][value][7][title]"
value="Assist individuals who need assistance in basic first aid emergencies" disabled="">
</td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][7][value]" value="5" disabled="">5</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][7][value]" value="4" disabled="">4</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][7][value]" value="3" disabled="">3</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][7][value]" value="2" disabled="">2</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][7][value]" value="1" disabled="">1</span></td>
</tr>
<tr>
<td class="td_question1"> Use an AED device following standardized guidelines. <input data-role="none" type="hidden" name="questions[1][value][8][title]" value="Use an AED device following standardized guidelines" disabled="">
</td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][8][value]" value="5" disabled="">5</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][8][value]" value="4" disabled="">4</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][8][value]" value="3" disabled="">3</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][8][value]" value="2" disabled="">2</span></td>
<td class="td_question1"><span><input data-role="none" type="radio" name="questions[1][value][8][value]" value="1" disabled="">1</span></td>
</tr>
</tbody>
</table>
</div>
<div class="Questions" style="clear: both;">
<input data-role="none" type="hidden" name="questions[19][title]" value="Was the course material up to date, well organized, and convenient?">
<p class="lbl_question">5. Was the course material up to date, well organized, and convenient? </p>
<div class="">
<input data-role="none" type="radio" name="questions[19][value]" value="Yes"> Yes <input data-role="none" type="radio" name="questions[19][value]" value="Somewhat"> Somewhat <input data-role="none" type="radio" name="questions[19][value]"
value="No"> No
</div>
</div>
<div class="Questions" style="clear: both;">
<input data-role="none" type="hidden" name="questions[20][title]" value="Overall, how satisfied or dissatisfied are you with this course?">
<p class="lbl_question">6. Overall, how satisfied or dissatisfied are you with this course? </p>
<div class="">
<input data-role="none" type="radio" name="questions[20][value]" value="Very Satisfied"> Very Satisfied <input data-role="none" type="radio" name="questions[20][value]" value="Satisfied"> Satisfied <input data-role="none" type="radio"
name="questions[20][value]" value="Dissatisfied"> Dissatisfied <input data-role="none" type="radio" name="questions[20][value]" value="Very Dissatisfied"> Very Dissatisfied
</div>
</div>
<div class="Questions" style="clear: both;">
<input data-role="none" type="hidden" name="questions[21][title]" value="Please let us know any future topic you may be interested in">
<p class="lbl_question">7. Please let us know any future topic you may be interested in </p>
<div class="">
<textarea data-role="none" style="max-width: 450px;" name="questions[21][value]" placeholder="..." cols="30" rows="3" maxlength="30"></textarea>
</div>
</div>
</div>
<input data-role="none" type="hidden" value="" name="course_id" id="course_id_ce">
<input data-role="none" type="hidden" value="" name="email_ce" id="email_ce">
<div class="box-submit">
<input data-role="none" type="button" style="margin-top: 10px;" value="Submit" class="submit_evaluation" id="submit_evaluation">
</div>
</form>POST https://app.cpraedcourse.com/download/certificate//true
<form action="https://app.cpraedcourse.com/download/certificate//true" method="post" accept-charset="utf-8" id="frm_certificate_mobile" target="_blank" novalidate="novalidate">
<div class="item-form form-validate">
<select data-role="none" class="skip" id="is_healthcare_mobi" name="is_healthcare">
<option value="">Select Profession Type</option>
<option value="0">Non-Healthcare </option>
<option value="1">Healthcare </option>
</select>
<p class="form-error"></p>
</div>
<div class="item-form form-validate">
<select data-role="none" class="skip" id="select_industry_mobi" name="industry">
<option value="">Select Industry</option>
<option value="138" data-type="non_healthcare" style="display: none;">Education - Teachers & Coaches</option>
<option value="139" data-type="non_healthcare" style="display: none;">Construction / Industrial / Manufacturing</option>
<option value="3" data-type="non_healthcare" style="display: none;">Agricultural / Farming</option>
<option value="4" data-type="non_healthcare" style="display: none;">Assisted Living / Nursing Homes</option>
<option value="140" data-type="non_healthcare" style="display: none;">Childcare / Day Care / Foster Care / Adoption</option>
<option value="141" data-type="non_healthcare" style="display: none;">Hospitality</option>
<option value="7" data-type="non_healthcare" style="display: none;">Communications / Technology</option>
<option value="143" data-type="non_healthcare" style="display: none;">Financial Services/ Banking / Insurance / Consulting</option>
<option value="144" data-type="non_healthcare" style="display: none;">Aerospace / Automotive</option>
<option value="11" data-type="non_healthcare" style="display: none;">Fitness / Wellness Centers</option>
<option value="145" data-type="non_healthcare" style="display: none;">Retail / Shopping</option>
<option value="146" data-type="non_healthcare" style="display: none;">Staffing Agency / Recruiter</option>
<option value="147" data-type="non_healthcare" style="display: none;">Logistics / Freight Services / Transportation</option>
<option value="148" data-type="non_healthcare" style="display: none;">Maintenance / Utilities / Landscaping</option>
<option value="17" data-type="non_healthcare" style="display: none;">Government / Law Enforcement / Military</option>
<option value="161" data-type="non_healthcare" style="display: none;">Marketing & Promotions /Printing and Marketing Services</option>
<option value="24" data-type="non_healthcare" style="display: none;">Churches / Charities & Non Profit Organizations</option>
<option value="164" data-type="non_healthcare" style="display: none;">Other</option>
<option value="other" data-type="non_healthcare" id="industry_other_non_healthcare" style="display: none;">Other</option>
<option value="149" data-type="is_healthcare" style="display: none;">Doctor / Physicians</option>
<option value="150" data-type="is_healthcare" style="display: none;">Nursing / Nursing Assistant</option>
<option value="151" data-type="is_healthcare" style="display: none;">Dental Services</option>
<option value="152" data-type="is_healthcare" style="display: none;">Laboratory Services</option>
<option value="153" data-type="is_healthcare" style="display: none;">Emergency Medical Technician</option>
<option value="154" data-type="is_healthcare" style="display: none;">Pharmacist</option>
<option value="155" data-type="is_healthcare" style="display: none;">Physical Therapy Services</option>
<option value="156" data-type="is_healthcare" style="display: none;">Mental Health Services</option>
<option value="157" data-type="is_healthcare" style="display: none;">Chiropractor / Masage Threrapy</option>
<option value="158" data-type="is_healthcare" style="display: none;">Home Health Aide</option>
<option value="159" data-type="is_healthcare" style="display: none;">Optician Services</option>
<option value="160" data-type="is_healthcare" style="display: none;">Obstetrician Services</option>
<option value="162" data-type="is_healthcare" style="display: none;">Hospital Admin / Healthcare Facility Staff</option>
<option value="163" data-type="is_healthcare" style="display: none;">Occupational Therapy Services</option>
<option value="165" data-type="is_healthcare" style="display: none;">Other</option>
<option value="other" data-type="is_healthcare" id="industry_other_non_healthcare" style="display: none;">Other</option>
</select>
<p class="form-error form-error-thankyou"></p>
</div>
<div class="item-form form-validate" id="other_industry_mobi">
<input data-role="none" type="text" id="input_other_industry_mobi" name="other_industry" maxlength="255" placeholder="Name of the other industry">
<p class="form-error form-error-thankyou"></p>
</div>
<div class="item-form form-validate">
<input data-role="none" type="text" name="company_name" maxlength="255" placeholder="Employer company name">
<p class="form-error form-error-thankyou"></p>
</div>
<div class="item-form form-validate">
<input data-role="none" type="text" name="full_name" maxlength="255" placeholder="Employer full name">
<p class="form-error form-error-thankyou"></p>
</div>
<div class="item-form form-validate">
<input data-role="none" type="email" name="company_email" maxlength="255" placeholder="Employer email">
<p class="form-error form-error-thankyou"></p>
</div>
<div class="item-form form-validate">
<input data-role="none" type="text" name="company_phone" maxlength="14" placeholder="Employer phone" onkeypress="return isNumberKey(event)">
<p class="form-error form-error-thankyou"></p>
</div>
<div class="item-form form-validate">
<input data-role="none" type="text" name="company_website" maxlength="255" placeholder="Employer website">
<p class="form-error form-error-thankyou"></p>
</div>
<div class="item-form form-validate">
<div>
<p class="label_own_aed_device">Does your facility own an AED device?</p>
<div class="flex aed_option_container">
<div class="flex_center">
<input id="aed-1-m" data-role="none" name="is_own_aed_device" type="radio" value="1" class="custom_radio">
<label for="aed-1-m" class="option_own_aed_device_label">Yes</label>
</div>
<div class="flex_center second-child">
<input id="aed-0-m" data-role="none" name="is_own_aed_device" type="radio" value="0" class="custom_radio" checked="">
<label for="aed-0-m" class="option_own_aed_device_label">No</label>
</div>
</div>
</div>
</div>
<div class="item-form">
<div class="item-form-button">
<button data-role="none" type="button" id="submit_questionnaire_mobi" class="submit_questionnaire"> Download Certificate </button>
</div>
</div>
<input type="hidden" value="" name="email_ce" id="email_ce_m">
<input type="hidden" value="" name="course_id_cer" id="course_id_cer">
</form>POST https://app.cpraedcourse.com/thankyou/createCertificateContinuingEducation
<form action="https://app.cpraedcourse.com/thankyou/createCertificateContinuingEducation" method="post" accept-charset="utf-8" id="frm_evaluation_mobile" target="_blank">
<div class="Questions">
<input type="hidden" name="questions[0][title]" value="What are your credentials?">
<p class="lbl_question">1. What are your credentials?</p>
<div>
<div class="option-cerdentials">
<label class="lbl_qus0"><input data-role="none" type="radio" name="questions[0][value]" value="AMA">AMA </label>
</div>
<div class="option-cerdentials">
<label class="lbl_qus0"><input data-role="none" type="radio" name="questions[0][value]" value="ANCC">ANCC</label>
</div>
<div class="option-cerdentials">
<label class="lbl_qus0"><input data-role="none" type="radio" name="questions[0][value]" value="ACPE">ACPE</label>
</div>
<div class="option-cerdentials">
<label class="lbl_qus0"><input data-role="none" type="radio" name="questions[0][value]" value="AGD">AGD</label>
</div>
<div class="option-cerdentials">
<label class="lbl_qus0"><input data-role="none" type="radio" name="questions[0][value]" id="ques_0_value_mobile" value="other">Other</label>
</div>
<textarea name="questions[0][answer]" class="hide" id="ques_0_answer_mobile" maxlength="256" placeholder="please explain here.." data-role="none"></textarea>
</div>
</div>
<div id="AMA-ANCC">
<div class="Questions">
<input type="hidden" name="questions[1][title]" value="Please select the extent to which you agree/disagree that the activity supported the achievement of each learning objective?">
<p class="lbl_question">2. Please select the extent to which you agree/disagree that the activity supported the achievement of each learning objective?</p>
<table style="width: 98%; border-collapse: collapse;">
<thead>
<tr>
<th>Objective</th>
<th class="th_qus1">Decision</th>
</tr>
</thead>
<tbody>
<tr>
<td class="td_question1"> Recognize when there is a victim of cardiac arrest. <input type="hidden" name="questions[1][value][1][title]" value="Recognize when there is a victim of cardiac arrest">
</td>
<td class="td_question1 decision">
<select class="sel_decision sel_decision-m-dv2" name="questions[1][value][1][value]" data-role="none">
<option value="">Please choose</option>
<option value="5">Strongly Agree</option>
<option value="4">Agree</option>
<option value="3">Neutral</option>
<option value="2">Disagree</option>
<option value="1">Strongly Disagree</option>
</select>
</td>
</tr>
<tr>
<td class="td_question1"> Identify when a person may be choking. <input type="hidden" name="questions[1][value][2][title]" value="Identify when a person may be choking">
</td>
<td class="td_question1 decision">
<select class="sel_decision sel_decision-m-dv2" name="questions[1][value][2][value]" data-role="none">
<option value="">Please choose</option>
<option value="5">Strongly Agree</option>
<option value="4">Agree</option>
<option value="3">Neutral</option>
<option value="2">Disagree</option>
<option value="1">Strongly Disagree</option>
</select>
</td>
</tr>
<tr>
<td class="td_question1"> Assess the scene for responder safety. <input type="hidden" name="questions[1][value][3][title]" value="Assess the scene for responder safety">
</td>
<td class="td_question1 decision">
<select class="sel_decision sel_decision-m-dv2" name="questions[1][value][3][value]" data-role="none">
<option value="">Please choose</option>
<option value="5">Strongly Agree</option>
<option value="4">Agree</option>
<option value="3">Neutral</option>
<option value="2">Disagree</option>
<option value="1">Strongly Disagree</option>
</select>
</td>
</tr>
<tr>
<td class="td_question1"> React immediately by activating emergency response systems - call 9-1-1. <input type="hidden" name="questions[1][value][4][title]" value="React immediately by activating emergency response systems">
</td>
<td class="td_question1 decision">
<select class="sel_decision sel_decision-m-dv2" name="questions[1][value][4][value]" data-role="none">
<option value="">Please choose</option>
<option value="5">Strongly Agree</option>
<option value="4">Agree</option>
<option value="3">Neutral</option>
<option value="2">Disagree</option>
<option value="1">Strongly Disagree</option>
</select>
</td>
</tr>
<tr>
<td class="td_question1"> Begin chest compressions on unconscious adult, child or infant in cardiac arrest. <input type="hidden" name="questions[1][value][5][title]"
value="Begin chest compressions on unconscious adult, child or infant in cardiac arrest">
</td>
<td class="td_question1 decision">
<select class="sel_decision sel_decision-m-dv2" name="questions[1][value][5][value]" data-role="none">
<option value="">Please choose</option>
<option value="5">Strongly Agree</option>
<option value="4">Agree</option>
<option value="3">Neutral</option>
<option value="2">Disagree</option>
<option value="1">Strongly Disagree</option>
</select>
</td>
</tr>
<tr>
<td class="td_question1"> Follow depth of chest compression and rescue breath guidelines while responding. <input type="hidden" name="questions[1][value][6][title]"
value="Follow depth of chest compression and rescue breath guidelines while responding">
</td>
<td class="td_question1 decision">
<select class="sel_decision sel_decision-m-dv2" name="questions[1][value][6][value]" data-role="none">
<option value="">Please choose</option>
<option value="5">Strongly Agree</option>
<option value="4">Agree</option>
<option value="3">Neutral</option>
<option value="2">Disagree</option>
<option value="1">Strongly Disagree</option>
</select>
</td>
</tr>
<tr>
<td class="td_question1"> Assist individuals who need assistance in basic first aid emergencies. <input type="hidden" name="questions[1][value][7][title]" value="Assist individuals who need assistance in basic first aid emergencies">
</td>
<td class="td_question1 decision">
<select class="sel_decision sel_decision-m-dv2" name="questions[1][value][7][value]" data-role="none">
<option value="">Please choose</option>
<option value="5">Strongly Agree</option>
<option value="4">Agree</option>
<option value="3">Neutral</option>
<option value="2">Disagree</option>
<option value="1">Strongly Disagree</option>
</select>
</td>
</tr>
<tr>
<td class="td_question1"> Use an AED device following standardized guidelines. <input type="hidden" name="questions[1][value][8][title]" value="Use an AED device following standardized guidelines">
</td>
<td class="td_question1 decision">
<select class="sel_decision sel_decision-m-dv2" name="questions[1][value][8][value]" data-role="none">
<option value="">Please choose</option>
<option value="5">Strongly Agree</option>
<option value="4">Agree</option>
<option value="3">Neutral</option>
<option value="2">Disagree</option>
<option value="1">Strongly Disagree</option>
</select>
</td>
</tr>
</tbody>
</table>
</div>
<div class="Questions">
<input type="hidden" name="questions[2][title]" value="Based upon your participation in this activity, do you intend to change your practice behavior?">
<p class="lbl_question">3. Based upon your participation in this activity, do you intend to change your practice behavior?</p>
<div>
<div><label><input data-role="none" type="radio" name="questions[2][value]" id="questions" value="I do plan to implement changes in my practice based on the information presented">I do plan to implement changes in my practice based on the
information presented</label></div>
<div><label><input data-role="none" type="radio" name="questions[2][value]" id="questions" value="My current practice has been reinforced by the information presented">My current practice has been reinforced by the information
presented</label></div>
<div><label><input data-role="none" type="radio" name="questions[2][value]" id="questions" value="I need more information before I will change my practice">I need more information before I will change my practice</label></div>
</div>
</div>
<div class="Questions">
<input data-role="none" type="hidden" name="questions[3][title]" value="How confident are you that you will be able to make your intended changes?">
<p class="lbl_question">4. How confident are you that you will be able to make your intended changes?</p>
<div>
<label class="ques_3"><input type="radio" name="questions[3][value]" data-role="none" value="Very confident">Very confident</label>
<label class="ques_3"><input type="radio" name="questions[3][value]" data-role="none" value="Somewhat confident">Somewhat confident</label>
<label class="ques_3"><input type="radio" name="questions[3][value]" data-role="none" value="Unsure">Unsure</label>
<label class="ques_3"><input type="radio" name="questions[3][value]" data-role="none" value="Not confident">Not confident</label>
</div>
</div>
<div class="Questions">
<input type="hidden" name="questions[4][title]" value="Which of the following do you anticipate will be the primary barrier to implementing these changes?">
<p class="lbl_question">5. Which of the following do you anticipate will be the primary barrier to implementing these changes</p>
<div class="lbl_left">
<div><label><input type="checkbox" name="questions[4][value][]" data-role="none" value="Formulary restrictions" id="ques_4_0_mobile">Formulary restrictions</label></div>
<div><label><input type="checkbox" name="questions[4][value][]" data-role="none" value="Time constraints" id="ques_4_1_mobile">Time constraints</label></div>
<div><label><input type="checkbox" name="questions[4][value][]" data-role="none" value="System constraints" id="ques_4_2_mobile">System constraints</label></div>
<div><label><input type="checkbox" name="questions[4][value][]" data-role="none" value="Patient adherence compliance" id="ques_4_3_mobile">Patient adherence/compliance</label></div>
<div><label><input type="checkbox" name="questions[4][value][]" data-role="none" value="Insurance financial issues" id="ques_4_4_mobile">Insurance/financial issues</label></div>
<div><label><input type="checkbox" name="questions[4][value][]" data-role="none" value="Lack of interprofessional team support" id="ques_4_5_mobile">Lack of interprofessional team support</label></div>
<div><label><input type="checkbox" name="questions[4][value][]" data-role="none" value="Treatment related adverse events" id="ques_4_6_mobile">Treatment related adverse events</label></div>
<div><label><input type="checkbox" name="questions[4][value][]" data-target-id="ques_4_other_mobile" data-role="none" value="Other please specify" id="ques_4_7_mobile">Other, please specify</label></div>
<textarea name="questions[4][answer]" class="ques_4_other hide" id="ques_4_other_mobile" maxlength="256" placeholder="Please specify...." data-role="none"></textarea>
</div>
</div>
<div class="Questions">
<input type="hidden" name="questions[5][title]" value="Was the content of this activity fair, balanced, objective and free of bias?">
<p class="lbl_question">6. Was the content of this activity fair, balanced, objective and free of bias?</p>
<div>
<label class="lbl_qus5"><input type="radio" name="questions[5][value]" value="Yes" data-role="none">Yes </label>
<label class="lbl_qus5"><input type="radio" name="questions[5][value]" id="ques_5_value_mobile" value="No" data-role="none">No, please explain</label>
<textarea name="questions[5][answer]" class="hide" id="ques_5_answer_mobile" placeholder="please explain here.." data-role="none" maxlength="256"></textarea>
</div>
</div>
</div>
<div id="ACPE" style="display: none;">
<div class="Questions" style="clear: both;">
<input type="hidden" name="questions[11][title]" value="Action">
<input type="hidden" name="questions[11][value]" checked="" class="acpe" value="I">
<input type="hidden" name="questions[12][title]" value="NABP_ePID">
<p class="lbl_question">2. NABP ePID</p>
<div>
<input data-role="none" type="text" class="acpe" style="width: 290px;" onkeypress="return validateNumber(event)" placeholder="Please insert 10 numeric digits" value="" maxlength="10" name="questions[12][value]">
</div>
</div>
<div class="Questions" style="clear: both;">
<input type="hidden" name="questions[13][title]" value="DOB">
<p class="lbl_question">3. DOB</p>
<div>
<input data-role="none" class="acpe" type="text" style="display:none;" id="Date_Of_DOB_m" placeholder="MM/DD" value="" name="questions[13][value]">
<input data-role="none" class="" id="DOB_month_m" type="number" min="01" max="12" step="1" maxlength="2" onfocusout="formatDayAndMonthMobile(this);" onkeypress="if(this.value.length==2) return false; validateMonthLenghtMobile(this);"
placeholder="MM" value="" name="questions[13][month]"> / <input data-role="none" class="" id="DOB_date_m" type="number" min="01" max="31" step="1" maxlength="2" onfocusout="formatDayAndMonthMobile(this);"
onkeypress="if(this.value.length==2) return false; validateDayLenghtMobile(this);" placeholder="DD" value="" name="questions[13][day]">
</div>
</div>
<div class="Questions" style="clear: both;">
<input type="hidden" name="questions[14][title]" value="ACPE_UAN">
<p class="lbl_question">4. ACPE UAN (must match exactly to what appears on the Activity Description Form, ADF, you receive from clinical)</p>
<div>
<input data-role="none" type="text" class="acpe" name="questions[14][value]" style="width: 290px;" maxlength="10" placeholder="Enter activity description">
</div>
</div>
<div class="Questions" style="clear: both;">
<input data-role="none" type="hidden" name="questions[15][title]" value="Date_Of_Participation">
<p class="lbl_question">5. Date Of Participation</p>
<div>
<input data-role="none" class="acpe" type="text" style="pointer-events: none;" id="Date_Of_Participation" placeholder="MM/DD/YYYY" value="05/29/2024" name="questions[15][value]">
</div>
</div>
</div>
<div id="AGD" style="display: none;">
<div class="Questions" style="clear: both;">
<input type="hidden" name="questions[16][title]" value="AGD Member ID Number">
<p class="lbl_question">2. AGD Member ID Number: </p>
<div>
<input data-role="none" class="" maxlength="6" type="text" placeholder="Up to 6 characters" value="" name="questions[16][value]">
</div>
</div>
<div class="Questions" style="clear: both;">
<input data-role="none" type="hidden" name="questions[17][title]" value="Profession">
<p class="lbl_question">3. Profession: </p>
<div class="select-profession">
<select data-role="none" name="questions[17][value]" id="select-profession-mobile" onchange="loadTextareaProfessionMobile($(this),'#area-profession-mobile')">
<option value=""> Select profession </option>
<option value="Dentist"> Dentist </option>
<option value="Hygienist"> Hygienist </option>
<option value="Specialist"> Specialist </option>
<option value="Assistant"> Assistant </option>
<option value="Other"> Other </option>
</select>
<input data-role="none" type="hidden" name="questions[18][title]" value="other-profession">
<textarea data-role="none" id="area-profession-mobile" name="questions[18][value]" placeholder="Other..." cols="30" rows="3" maxlength="10"></textarea>
</div>
</div>
<div class="Questions">
<input data-role="none" type="hidden" name="questions[1][title]" value="Please select the extent to which you agree/disagree that the activity supported
the achievement of each learning objective?">
<p class="lbl_question">4. Please select the extent to which you agree/disagree that the activity supported the achievement of each learning objective?</p>
<table style="width: 98%; border-collapse: collapse;">
<thead>
<tr>
<th>Objective</th>
<th class="th_qus1">Decision</th>
</tr>
</thead>
<tbody>
<tr>
<td class="td_question1"> Recognize when there is a victim of cardiac arrest. <input type="hidden" name="questions[1][value][1][title]" value="Recognize when there is a victim of cardiac arrest">
</td>
<td class="td_question1 decision">
<select class="sel_decision" name="questions[1][value][1][value]" data-role="none">
<option value="">Please choose</option>
<option value="5">Strongly Agree</option>
<option value="4">Agree</option>
<option value="3">Neutral</option>
<option value="2">Disagree</option>
<option value="1">Strongly Disagree</option>
</select>
</td>
</tr>
<tr>
<td class="td_question1"> Identify when a person may be choking. <input type="hidden" name="questions[1][value][2][title]" value="Identify when a person may be choking">
</td>
<td class="td_question1 decision">
<select class="sel_decision" name="questions[1][value][2][value]" data-role="none">
<option value="">Please choose</option>
<option value="5">Strongly Agree</option>
<option value="4">Agree</option>
<option value="3">Neutral</option>
<option value="2">Disagree</option>
<option value="1">Strongly Disagree</option>
</select>
</td>
</tr>
<tr>
<td class="td_question1"> Assess the scene for responder safety. <input type="hidden" name="questions[1][value][3][title]" value="Assess the scene for responder safety">
</td>
<td class="td_question1 decision">
<select class="sel_decision" name="questions[1][value][3][value]" data-role="none">
<option value="">Please choose</option>
<option value="5">Strongly Agree</option>
<option value="4">Agree</option>
<option value="3">Neutral</option>
<option value="2">Disagree</option>
<option value="1">Strongly Disagree</option>
</select>
</td>
</tr>
<tr>
<td class="td_question1"> React immediately by activating emergency response systems - call 9-1-1. <input type="hidden" name="questions[1][value][4][title]" value="React immediately by activating emergency response systems">
</td>
<td class="td_question1 decision">
<select class="sel_decision" name="questions[1][value][4][value]" data-role="none">
<option value="">Please choose</option>
<option value="5">Strongly Agree</option>
<option value="4">Agree</option>
<option value="3">Neutral</option>
<option value="2">Disagree</option>
<option value="1">Strongly Disagree</option>
</select>
</td>
</tr>
<tr>
<td class="td_question1"> Begin chest compressions on unconscious adult, child or infant in cardiac arrest. <input type="hidden" name="questions[1][value][5][title]"
value="Begin chest compressions on unconscious adult, child or infant in cardiac arrest">
</td>
<td class="td_question1 decision">
<select class="sel_decision" name="questions[1][value][5][value]" data-role="none">
<option value="">Please choose</option>
<option value="5">Strongly Agree</option>
<option value="4">Agree</option>
<option value="3">Neutral</option>
<option value="2">Disagree</option>
<option value="1">Strongly Disagree</option>
</select>
</td>
</tr>
<tr>
<td class="td_question1"> Follow depth of chest compression and rescue breath guidelines while responding. <input type="hidden" name="questions[1][value][6][title]"
value="Follow depth of chest compression and rescue breath guidelines while responding">
</td>
<td class="td_question1 decision">
<select class="sel_decision" name="questions[1][value][6][value]" data-role="none">
<option value="">Please choose</option>
<option value="5">Strongly Agree</option>
<option value="4">Agree</option>
<option value="3">Neutral</option>
<option value="2">Disagree</option>
<option value="1">Strongly Disagree</option>
</select>
</td>
</tr>
<tr>
<td class="td_question1"> Assist individuals who need assistance in basic first aid emergencies. <input type="hidden" name="questions[1][value][7][title]" value="Assist individuals who need assistance in basic first aid emergencies">
</td>
<td class="td_question1 decision">
<select class="sel_decision" name="questions[1][value][7][value]" data-role="none">
<option value="">Please choose</option>
<option value="5">Strongly Agree</option>
<option value="4">Agree</option>
<option value="3">Neutral</option>
<option value="2">Disagree</option>
<option value="1">Strongly Disagree</option>
</select>
</td>
</tr>
<tr>
<td class="td_question1"> Use an AED device following standardized guidelines. <input type="hidden" name="questions[1][value][8][title]" value="Use an AED device following standardized guidelines">
</td>
<td class="td_question1 decision">
<select class="sel_decision" name="questions[1][value][8][value]" data-role="none">
<option value="">Please choose</option>
<option value="5">Strongly Agree</option>
<option value="4">Agree</option>
<option value="3">Neutral</option>
<option value="2">Disagree</option>
<option value="1">Strongly Disagree</option>
</select>
</td>
</tr>
</tbody>
</table>
</div>
<div class="Questions" style="clear: both;">
<input type="hidden" name="questions[19][title]" value="Was the course material up to date, well organized, and convenient?">
<p class="lbl_question">5. Was the course material up to date, well organized, and convenient? </p>
<div class="">
<input data-role="none" type="radio" name="questions[19][value]" value="Yes"> Yes <input data-role="none" type="radio" name="questions[19][value]" value="Somewhat"> Somewhat <input data-role="none" type="radio" name="questions[19][value]"
value="No"> No
</div>
</div>
<div class="Questions" style="clear: both;">
<input type="hidden" name="questions[20][title]" value="Overall, how satisfied or dissatisfied are you with this course?">
<p class="lbl_question">6. Overall, how satisfied or dissatisfied are you with this course? </p>
<div class="">
<input data-role="none" type="radio" name="questions[20][value]" value="Very Satisfied"> Very Satisfied <input data-role="none" type="radio" name="questions[20][value]" value="Satisfied"> Satisfied <input data-role="none" type="radio"
name="questions[20][value]" value="Dissatisfied"> Dissatisfied <input data-role="none" type="radio" name="questions[20][value]" value="Very Dissatisfied"> Very Dissatisfied
</div>
</div>
<div class="Questions" style="clear: both;">
<input type="hidden" name="questions[21][title]" value="Please let us know any future topic you may be interested in">
<p class="lbl_question">7. Please let us know any future topic you may be interested in </p>
<div class="">
<textarea data-role="none" style="min-width: auto;" name="questions[21][value]" placeholder="..." cols="30" rows="3" maxlength="30"></textarea>
</div>
</div>
</div>
<input type="hidden" value="" name="course_id" id="course_id_ce_m">
<input type="hidden" value="" name="email_ce" id="email_ce_m">
<div class="box-submit">
<input type="button" data-role="none" value="Submit" class="submit_evaluation" id="submit_evaluation_mobile" style="margin-top: 10px;">
</div>
</form>Text Content
EN ES EN * Dashboard * Student Profile * billing receipt * CPR Store * Hands-on Kit * Contact Us * Logout * * 1-888-277-7865 * * Michele Newton * Dashboard * Store * Hands-on Kit * Student Profile * Billing * Contact Us * Logout * Home * * Dashboard WELCOME, MICHELE NEWTON! Thank you for registering with us. We hope that you enjoy the classroom experience on our website, and we wish you the best of luck! Courses for Non-healthcare Professionals EDUCATION / CORPORATE / INDUSTRY / DAY CARE / LAYMAN / OTHER * Teachers * Construction Workers * Coaches * Electricians * Workplace Emergency Response Team * personnel * Hotel Staff * Adult Foster Care * Montessori Workers * Restaurant Staff * Business Owners/Employees * Transportation * Security Personnel * Manufacturing * Individuals who require Adult CPR (does not work with children or infants) Enrolled Course Course Order Price Payment Type Actions CPR/BLS & First Aid Paid by group Pre-Paid View CourseDownload CertificateRenew Certificate Quiz Code Date Result Grade Expiration Certificate CPR/AED (BLS) + First Aid Combo RABE787-f280 06/06/2022 Passed 75% 06/06/2024 Expires soon Download Go back to the wizard PEOPLE WHO TOOK THIS COURSE ALSO PURCHASED AHCA CPR and First Aid Combo Student Manual $8.95 AHCA CPR Student Manual $7.95 AHCA First Aid Student Manual $7.95 View Cart Content Certification Questionnaire Please provide the following information about the company: Select Profession Type Non-Healthcare Healthcare Select Industry Education - Teachers & Coaches Construction / Industrial / Manufacturing Agricultural / Farming Assisted Living / Nursing Homes Childcare / Day Care / Foster Care / Adoption Hospitality Communications / Technology Financial Services/ Banking / Insurance / Consulting Aerospace / Automotive Fitness / Wellness Centers Retail / Shopping Staffing Agency / Recruiter Logistics / Freight Services / Transportation Maintenance / Utilities / Landscaping Government / Law Enforcement / Military Marketing & Promotions /Printing and Marketing Services Churches / Charities & Non Profit Organizations Other Other Doctor / Physicians Nursing / Nursing Assistant Dental Services Laboratory Services Emergency Medical Technician Pharmacist Physical Therapy Services Mental Health Services Chiropractor / Masage Threrapy Home Health Aide Optician Services Obstetrician Services Hospital Admin / Healthcare Facility Staff Occupational Therapy Services Other Other Does your facility own an AED device? Yes No Download Certificate × × EVALUATION & CREDIT REQUEST FORM Download your CE Credit Certification after completing this evaluation -------------------------------------------------------------------------------- 1. What are your credentials? AMA ANCC ACPE AGD Other 2. Please select the extent to which you agree/disagree that the activity supported the achievement of each learning objective? Objective Strongly Agree Agree Neutral Disagree Strongly Disagree Recognize when there is a victim of cardiac arrest. 5 4 3 2 1 Identify when a person may be choking. 5 4 3 2 1 Assess the scene for responder safety. 5 4 3 2 1 React immediately by activating emergency response systems - call 9-1-1. 5 4 3 2 1 Begin chest compressions on unconscious adult, child or infant in cardiac arrest. 5 4 3 2 1 Follow depth of chest compression and rescue breath guidelines while responding. 5 4 3 2 1 Assist individuals who need assistance in basic first aid emergencies. 5 4 3 2 1 Use an AED device following standardized guidelines. 5 4 3 2 1 3. Based upon your participation in this activity, do you intend to change your practice behavior? I do plan to implement changes in my practice based on the information presented My current practice has been reinforced by the information presented I need more information before I will change my practice 4. How confident are you that you will be able to make your intended changes? Very confident Somewhat confident Unsure Not confident 5. Which of the following do you anticipate will be the primary barrier to implementing these changes Formulary restrictions Time constraints System constraints Patient adherence/compliance Insurance/financial issues Lack of interprofessional team support Treatment related adverse events Other, please specify 6. Was the content of this activity fair, balanced, objective and free of bias? Yes No, please explain: 2. NABP ePID 3. DOB / 4. ACPE UAN (must match exactly to what appears on the Activity Description Form, ADF, you receive from clinical) 5. Date Of Participation 2. AGD Member ID Number: 3. Profession: Select profession Dentist Hygienist Specialist Assistant Other 4. Please select the extent to which you agree/disagree that the activity supported the achievement of each learning objective? Objective Strongly Agree Agree Neutral Disagree Strongly Disagree Recognize when there is a victim of cardiac arrest. 5 4 3 2 1 Identify when a person may be choking. 5 4 3 2 1 Assess the scene for responder safety. 5 4 3 2 1 React immediately by activating emergency response systems - call 9-1-1. 5 4 3 2 1 Begin chest compressions on unconscious adult, child or infant in cardiac arrest. 5 4 3 2 1 Follow depth of chest compression and rescue breath guidelines while responding. 5 4 3 2 1 Assist individuals who need assistance in basic first aid emergencies. 5 4 3 2 1 Use an AED device following standardized guidelines. 5 4 3 2 1 5. Was the course material up to date, well organized, and convenient? Yes Somewhat No 6. Overall, how satisfied or dissatisfied are you with this course? Very Satisfied Satisfied Dissatisfied Very Dissatisfied 7. Please let us know any future topic you may be interested in * Home * * Dashboard WELCOME, MICHELE NEWTON! Thank you for registering with us. We hope that you enjoy the classroom experience on our website, and we wish you the best of luck! Courses for Non-healthcare Professionals EDUCATION / CORPORATE / INDUSTRY / DAY CARE / LAYMAN / OTHER * Teachers * Construction Workers * Coaches * Electricians * Workplace Emergency Response Team * personnel * Hotel Staff * Adult Foster Care * Montessori Workers * Restaurant Staff * Business Owners/Employees * Transportation * Security Personnel * Manufacturing * Individuals who require Adult CPR (does not work with children or infants) Enrolled Course Course Order Price Actions CPR/BLS & First Aid Paid by group (Pre-Paid) View CourseDownload CertificateRenew Certificate Code Quiz Result Expiration Certificate RABE787-f280 75% Passed 06/06/2022 06/06/2024 Expires soon Download Go back to the wizard PEOPLE WHO TOOK THIS COURSE ALSO PURCHASED AHCA CPR and First Aid Combo Student Manual $8.95 Add to Cart AHCA CPR Student Manual $7.95 Add to Cart AHCA First Aid Student Manual $7.95 Add to Cart View Cart Content Proceed to Checkout Certification Questionnaire Please provide the following information about the company: Select Profession Type Non-Healthcare Healthcare Select Industry Education - Teachers & Coaches Construction / Industrial / Manufacturing Agricultural / Farming Assisted Living / Nursing Homes Childcare / Day Care / Foster Care / Adoption Hospitality Communications / Technology Financial Services/ Banking / Insurance / Consulting Aerospace / Automotive Fitness / Wellness Centers Retail / Shopping Staffing Agency / Recruiter Logistics / Freight Services / Transportation Maintenance / Utilities / Landscaping Government / Law Enforcement / Military Marketing & Promotions /Printing and Marketing Services Churches / Charities & Non Profit Organizations Other Other Doctor / Physicians Nursing / Nursing Assistant Dental Services Laboratory Services Emergency Medical Technician Pharmacist Physical Therapy Services Mental Health Services Chiropractor / Masage Threrapy Home Health Aide Optician Services Obstetrician Services Hospital Admin / Healthcare Facility Staff Occupational Therapy Services Other Other Does your facility own an AED device? Yes No Download Certificate × × EVALUATION & CREDIT REQUEST FORM Download your CE Credit Certification after completing this evaluation -------------------------------------------------------------------------------- 1. What are your credentials? AMA ANCC ACPE AGD Other 2. Please select the extent to which you agree/disagree that the activity supported the achievement of each learning objective? Objective Decision Recognize when there is a victim of cardiac arrest. Please choose Strongly Agree Agree Neutral Disagree Strongly Disagree Identify when a person may be choking. Please choose Strongly Agree Agree Neutral Disagree Strongly Disagree Assess the scene for responder safety. Please choose Strongly Agree Agree Neutral Disagree Strongly Disagree React immediately by activating emergency response systems - call 9-1-1. Please choose Strongly Agree Agree Neutral Disagree Strongly Disagree Begin chest compressions on unconscious adult, child or infant in cardiac arrest. Please choose Strongly Agree Agree Neutral Disagree Strongly Disagree Follow depth of chest compression and rescue breath guidelines while responding. Please choose Strongly Agree Agree Neutral Disagree Strongly Disagree Assist individuals who need assistance in basic first aid emergencies. Please choose Strongly Agree Agree Neutral Disagree Strongly Disagree Use an AED device following standardized guidelines. Please choose Strongly Agree Agree Neutral Disagree Strongly Disagree 3. Based upon your participation in this activity, do you intend to change your practice behavior? I do plan to implement changes in my practice based on the information presented My current practice has been reinforced by the information presented I need more information before I will change my practice 4. How confident are you that you will be able to make your intended changes? Very confident Somewhat confident Unsure Not confident 5. Which of the following do you anticipate will be the primary barrier to implementing these changes Formulary restrictions Time constraints System constraints Patient adherence/compliance Insurance/financial issues Lack of interprofessional team support Treatment related adverse events Other, please specify 6. Was the content of this activity fair, balanced, objective and free of bias? Yes No, please explain 2. NABP ePID 3. DOB / 4. ACPE UAN (must match exactly to what appears on the Activity Description Form, ADF, you receive from clinical) 5. Date Of Participation 2. AGD Member ID Number: 3. Profession: Select profession Dentist Hygienist Specialist Assistant Other 4. Please select the extent to which you agree/disagree that the activity supported the achievement of each learning objective? Objective Decision Recognize when there is a victim of cardiac arrest. Please choose Strongly Agree Agree Neutral Disagree Strongly Disagree Identify when a person may be choking. Please choose Strongly Agree Agree Neutral Disagree Strongly Disagree Assess the scene for responder safety. Please choose Strongly Agree Agree Neutral Disagree Strongly Disagree React immediately by activating emergency response systems - call 9-1-1. Please choose Strongly Agree Agree Neutral Disagree Strongly Disagree Begin chest compressions on unconscious adult, child or infant in cardiac arrest. Please choose Strongly Agree Agree Neutral Disagree Strongly Disagree Follow depth of chest compression and rescue breath guidelines while responding. Please choose Strongly Agree Agree Neutral Disagree Strongly Disagree Assist individuals who need assistance in basic first aid emergencies. Please choose Strongly Agree Agree Neutral Disagree Strongly Disagree Use an AED device following standardized guidelines. Please choose Strongly Agree Agree Neutral Disagree Strongly Disagree 5. Was the course material up to date, well organized, and convenient? Yes Somewhat No 6. Overall, how satisfied or dissatisfied are you with this course? Very Satisfied Satisfied Dissatisfied Very Dissatisfied 7. Please let us know any future topic you may be interested in PLEASE WAIT...