Provider Connections Part C - Early Intervention Credentialing and Enrollment Funded by the Illinois Department of Human Services

Podcast Survey

Please answer the following questions related to the podcasts offered by Provider Connections. Your feedback is important to us and will be used to help us assess the early intervention credentialing and enrollment process, as well as technical assistance offered by our office.

      Last Name: (optional)       First Name: (optional)

      Agency Name:       Credential Type:

      Podcast(s) Viewed: CBO Instructional EI Credential Application Developmental Therapy 
                   DHS and Early Intervention Services Interpreter Translator Evaluation and Assessment

  1. The podcast(s) was easy to use.

           Strongly Agree           Agree            Neutral           Disagree           Strongly Disagree

  2. The podcast(s) made completing the application(s) easier.

           Strongly Agree           Agree            Neutral           Disagree           Strongly Disagree

  3. I will recommend others use the podcast(s) when completing EI applications for credentialing and/or enrollment.

           Strongly Agree           Agree            Neutral           Disagree           Strongly Disagree

  Do you have any comments?