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4 Hour Qualified Supervisor Update- Wednesday 2/4/26 (Cecil-Van Den Heuvel)

Please fill out the information completely below. This information will be used to issue your certificate and report your CEU's so please be sure everything is correct before moving forward.
Full Name(Required.)
License # (e.g. MH000, Registered Interns & Students enter N/A)(Required.)
Email Address(Required.)
Please rate 4 Hour Qualified Supervisor Update (Cecil- Van Den Heuvel) held on 2/4/26 using the 5-point Likert scale:(Required.)
1- Poor
2- Fair
3- Average
4- Above Average
5- Superior
Speaker's presentation style and ability to maintain interest
Speaker’s knowledge and expertise of the subject
Program topic and objectives were clearly stated and met
Program content and structure met stated expectations
Usefulness and relevance of material to my professional practice
Opportunity for interaction and exercises in this training
Quality of supplied course materials I received
Length of presentation and use of time was effectively managed
Impression of the overall value of the training session
How well this training session integrated with the overall conference program
Room and accommodations
Has this session met your expectations?(Required.)
What elements of the programs were LEAST applicable to your job and/or professional development?
What elements of the programs were MOST applicable to your job and/or professional development?
What topics would you like to see FMHCA offer in future FMHCA Annual Conferences/or Events?
Additional Comments