Required Courses for Re-Licensure Evaluation- Wednesday 2/4/26 (Norton)

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.

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* Full Name

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* License # (e.g. MH000, Registered Interns & Students enter N/A)

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* Email Address

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* Please rate Required Courses for Re-Licensure (Norton) held on 2/4/26 using the 5-point Likert scale:

	1- Poor	2- Fair	3- Average	4- Above Average	5- Superior
Speaker's presentation style and ability to maintain interest	Speaker's presentation style and ability to maintain interest 1- Poor	Speaker's presentation style and ability to maintain interest 2- Fair	Speaker's presentation style and ability to maintain interest 3- Average	Speaker's presentation style and ability to maintain interest 4- Above Average	Speaker's presentation style and ability to maintain interest 5- Superior
Speaker’s knowledge and expertise of the subject	Speaker’s knowledge and expertise of the subject 1- Poor	Speaker’s knowledge and expertise of the subject 2- Fair	Speaker’s knowledge and expertise of the subject 3- Average	Speaker’s knowledge and expertise of the subject 4- Above Average	Speaker’s knowledge and expertise of the subject 5- Superior
Program topic and objectives were clearly stated and met	Program topic and objectives were clearly stated and met 1- Poor	Program topic and objectives were clearly stated and met 2- Fair	Program topic and objectives were clearly stated and met 3- Average	Program topic and objectives were clearly stated and met 4- Above Average	Program topic and objectives were clearly stated and met 5- Superior
Program content and structure met stated expectations	Program content and structure met stated expectations 1- Poor	Program content and structure met stated expectations 2- Fair	Program content and structure met stated expectations 3- Average	Program content and structure met stated expectations 4- Above Average	Program content and structure met stated expectations 5- Superior
Usefulness and relevance of material to my professional practice	Usefulness and relevance of material to my professional practice 1- Poor	Usefulness and relevance of material to my professional practice 2- Fair	Usefulness and relevance of material to my professional practice 3- Average	Usefulness and relevance of material to my professional practice 4- Above Average	Usefulness and relevance of material to my professional practice 5- Superior
Opportunity for interaction and exercises in this training	Opportunity for interaction and exercises in this training 1- Poor	Opportunity for interaction and exercises in this training 2- Fair	Opportunity for interaction and exercises in this training 3- Average	Opportunity for interaction and exercises in this training 4- Above Average	Opportunity for interaction and exercises in this training 5- Superior
Quality of supplied course materials I received	Quality of supplied course materials I received 1- Poor	Quality of supplied course materials I received 2- Fair	Quality of supplied course materials I received 3- Average	Quality of supplied course materials I received 4- Above Average	Quality of supplied course materials I received 5- Superior
Length of presentation and use of time was effectively managed	Length of presentation and use of time was effectively managed 1- Poor	Length of presentation and use of time was effectively managed 2- Fair	Length of presentation and use of time was effectively managed 3- Average	Length of presentation and use of time was effectively managed 4- Above Average	Length of presentation and use of time was effectively managed 5- Superior
Impression of the overall value of the training session	Impression of the overall value of the training session 1- Poor	Impression of the overall value of the training session 2- Fair	Impression of the overall value of the training session 3- Average	Impression of the overall value of the training session 4- Above Average	Impression of the overall value of the training session 5- Superior
How well this training session integrated with the overall conference program	How well this training session integrated with the overall conference program 1- Poor	How well this training session integrated with the overall conference program 2- Fair	How well this training session integrated with the overall conference program 3- Average	How well this training session integrated with the overall conference program 4- Above Average	How well this training session integrated with the overall conference program 5- Superior
Room and accommodations	Room and accommodations 1- Poor	Room and accommodations 2- Fair	Room and accommodations 3- Average	Room and accommodations 4- Above Average	Room and accommodations 5- Superior

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* Has this session met your expectations?

Yes

No

Please Specify

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* What elements of the programs were LEAST applicable to your job and/or professional development?

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* What elements of the programs were MOST applicable to your job and/or professional development?

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* What topics would you like to see FMHCA offer in future FMHCA Annual Conferences/or Events?

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* Additional Comments