The Institute For Art and Living
The Painting Experience

You must submit this form to receive continuing education credit. The Certificate of Completion will be emailed to you within 15 days of receipt.

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* 1. Contact Information

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* 2. License Type

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* 3. License Number

Course Title

Awakening the Creative: The Painting Experience

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* 4. Course Date

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* 5. Course Location

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* 6. Course Instructor(s)

Participant Course Assessment
Write a paragraph or two on each of the following topics. See Program Goals and Learning Objectives.

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* 7. Describe the key concepts and skills presented in this course.

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* 8. List the key learning objectives of this course in measurable terms, and assess the degree to which each of these objectives was met.

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* 9. What is the most important single concept that you have gained from this course that you will use in your healthcare setting?

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* 10. How might you apply it in your practice?

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* 11. How does process painting offer you the opportunity to reflect on your own implicit biases?

Participant Course Evaluation

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* 12. What was your primary reason for selecting this program?

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* 13. Was the course consistent with its objectives and title?

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* 14. Was this course appropriate to your level of education and experience?

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* 15. Was this course appropriate to your licensure level?

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* 16. Was the course appropriately challenging?

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* 17. Did the course expand your knowledge in this topic?

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* 18. Was the information presented current and accurate?

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* 19. Was the course taught at the promised level?

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* 20. Was the material relevant to your professional activities?

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* 21. Did the instructor know the subject matter?

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* 22. Were the instructor(s) well prepared?

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* 23. Were the instructor(s) attentive to questions?

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* 24. Would you attend another course given by this leader?

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* 25. How would you rate the overall value of the program?

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* 26. How would you rate the effectiveness of the presentation, including use of experiential learning?

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* 27. How would you rate the suitability and/or usefulness of instructional materials?

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* 28. If it was an onsite course, how would you rate the location, facilities and administration of the program?

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* 29. If it was an online course, how would you rate the instructor's ability to utilize course-appropriate technology to support participant learning?

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* 30. Overall, how much did you learn as a result of this CE program?

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* 31. What could have been improved or added?

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* 32. Would you prefer a printed version of your certificate of completion sent to you?

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* 33. Please list any additional comments, special instructions or any future course suggestions you might have.

Thank you for participating in The Institute For Art and Living’s Continuing Education program, we look forward to providing for your Continuing Education needs in the future. The Institute For Art and Living maintains responsibility for this program and its content.
Continuing Education Coordinator, CE@processarts.com, Institute For Art and Living, PO Box 309, Fairfax, CA 94978 415-488-6880.
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