Provider Training FollowUp Register Provider Training FollowUp First Name This field contains the user's first name. Last Name This field contains the user's last name. Training Date Co-Trainer Name Surveys are being: mailed faxed scanned and emailed Number Registered Number Attended Number of Center Represented Number of Kits Ordered Number of Kits Disseminated Number of Kits Remaining Best Part(s) of Training Provider questions/concerns that need help answering/addressing: Follow-up plan with providers: (check all that apply) Distribute and collect Usage Survey (1 & 3 months) In-person visits Emails Other
