UTHealth Staff Registration Form

Thank you for your interest in attending the weekly seminar Standard and Innovative Strategies in Cognitive Behavior Therapy (CBT) I will provide from March 7 through May 7, 2018 (Wednesdays from 5:00 PM to 7:00 PM).

So that I can adjust the level of the presentations and materials, I would greatly appreciate your filling in this questionnaire.

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* 1. Please, inform your

Name

Position

Email Address

Phone Number

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* 2. Would you inform your level of knowledge on CBT? Please, describe the trainings you have received so far.

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* 3. If you have had the chance of reading books on CBT, would would mind informing the last two or three titles?

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* 4. What are your expectations for this course? Would you please let me know what you would like to learn?

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* 5. Please, make any additional comments or suggestions here.