2019 Concurrent Session: Addressing Issues Using Non-Violent Communication

EVALUATION FORM

In order to improve the quality of our next program, we would appreciate receiving your feedback.

Please feel free to make comments. We thank you for your cooperation.

Question Title

* 1. On a scale of 1 (poor) to 5 (excellent), how well were you able to achieve the session objectives?

	1	2	3	4	5	N/A
A. Identify when (and when not to) use non-violent communication (NVC).	A. Identify when (and when not to) use non-violent communication (NVC). 1	A. Identify when (and when not to) use non-violent communication (NVC). 2	A. Identify when (and when not to) use non-violent communication (NVC). 3	A. Identify when (and when not to) use non-violent communication (NVC). 4	A. Identify when (and when not to) use non-violent communication (NVC). 5	A. Identify when (and when not to) use non-violent communication (NVC). N/A
B. Relate the basic principles of NVC.	B. Relate the basic principles of NVC. 1	B. Relate the basic principles of NVC. 2	B. Relate the basic principles of NVC. 3	B. Relate the basic principles of NVC. 4	B. Relate the basic principles of NVC. 5	B. Relate the basic principles of NVC. N/A
C. Describe the role of empathy in NVC.	C. Describe the role of empathy in NVC. 1	C. Describe the role of empathy in NVC. 2	C. Describe the role of empathy in NVC. 3	C. Describe the role of empathy in NVC. 4	C. Describe the role of empathy in NVC. 5	C. Describe the role of empathy in NVC. N/A
D. List 4 ways to respond to negative/critical communication.	D. List 4 ways to respond to negative/critical communication. 1	D. List 4 ways to respond to negative/critical communication. 2	D. List 4 ways to respond to negative/critical communication. 3	D. List 4 ways to respond to negative/critical communication. 4	D. List 4 ways to respond to negative/critical communication. 5	D. List 4 ways to respond to negative/critical communication. N/A
E. Discuss how to maximize reimbursement.	E. Discuss how to maximize reimbursement. 1	E. Discuss how to maximize reimbursement. 2	E. Discuss how to maximize reimbursement. 3	E. Discuss how to maximize reimbursement. 4	E. Discuss how to maximize reimbursement. 5	E. Discuss how to maximize reimbursement. N/A

Question Title

* 2. On a scale of 1 (poor) to 5 (excellent), please rate the TEACHING EFFECTIVENESS of the presenter.

	1	2	3	4	5	N/A
Cynthia Flynn, PhD, CNM, FACNM	Cynthia Flynn, PhD, CNM, FACNM 1	Cynthia Flynn, PhD, CNM, FACNM 2	Cynthia Flynn, PhD, CNM, FACNM 3	Cynthia Flynn, PhD, CNM, FACNM 4	Cynthia Flynn, PhD, CNM, FACNM 5	Cynthia Flynn, PhD, CNM, FACNM N/A

Question Title

* 3. On a scale of 1 (poor) to 5 (excellent), please rate the effectiveness of the TEACHING METHODS used.

1

2

3

4

5

N/A

1

2

3

4

5

N/A

Question Title

* 4. On a scale of 1 (poor) to 5 (excellent), please rate how well was the PROGRAM MATERIAL ORGANIZED.

1

2

3

4

5

N/A

1

2

3

4

5

N/A

Question Title

* 5. On a scale of 1 (poor) to 5 (excellent), please rate the session OVERALL.

1

2

3

4

5

N/A

1

2

3

4

5

N/A

Question Title

* 6. What part of the program provided the most helpful information?

Question Title

* 7. What additional information would have been helpful?

Question Title

* 8. Additional comments

Question Title

* 9. Name (submit if applying for continuing education)

Question Title

* 10. Email (optional)