Continuing Education (CE) Program Evaluation Form

  • Thank you for participating in this event.  Please note that in order to receive CE credit, you must have been connected to the presentation for the entire program.
  • A printable certificate of completion will be provided to you within 30 days via e-mail.

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* 1. First Name

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* 2. Last Name

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* 3. Name as you wish it to appear on the CE certificate

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* 4. Email address:

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* 5. Phone Number:

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* 6. What is your profession?

Please rate each of the following:
INSTRUCTOR/SPEAKER

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* 7. Seemed knowledgable concerning the topics covered

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* 8. Was well-prepared and organized

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* 9. Explained concepts clearly

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* 10. Was responsive to questions

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* 11. Used no prejudicial or stereotypical language

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* 12. Used a teaching style conducive to meeting the stated objectives

CONTENT/FORMAT/LEARNING

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* 13. Presentation description was accurate

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* 14. New skills or knowledge were acquired

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* 15. Format format/length was suitable to content

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* 16. Content was appropriate to audience

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* 17. Level of participant/instructor interaction was sufficient

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* 18. Was the event length too long, too short, or about right?

OBJECTIVES
As a result of this program, I am able to:

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* 19. To introduce the ADDRESSING framework as a model for understanding cultural identities and their relationship to often unconscious dynamics of power and marginalization

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* 20. To explore the concept of “intersectionality” as it relates to power/privilege and marginalization in clinical practice

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* 21. To reflect on how power/privilege and intersectionality affect our interactions with clients and colleagues

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* 22. Understand the differences between “stereotyping” and “generalizing”

RELEVANCY

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* 23. Comments and recommendations for change if the workshop was presented again (e.g., length, handouts, format, etc.)

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* 24. Overall, how would you rate the program?

LOGISTICS/CONVENTION STAFF (this section only needs to be completed once)

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* 25. Enrollment was smooth and efficient

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* 26. Convention staff were responsive and helpful

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* 27. The quality of the medium (e.g., audio and video) was adequate

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* 28. Suggestions for future workshop topics

When you have completed this evaluation/CE request form, please click 'DONE' below.

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