2019 Concurrent Session: Perinatal Mental Illness: What Front-Line Providers Need to Know

EVALUATION FORM

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

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A. Describe the spectrum of perinatal mental health.	A. Describe the spectrum of perinatal mental health. 1	A. Describe the spectrum of perinatal mental health. 2	A. Describe the spectrum of perinatal mental health. 3	A. Describe the spectrum of perinatal mental health. 4	A. Describe the spectrum of perinatal mental health. 5	A. Describe the spectrum of perinatal mental health. N/A
B. Discuss the consequences when perinatal mental illness goes untreated.	B. Discuss the consequences when perinatal mental illness goes untreated. 1	B. Discuss the consequences when perinatal mental illness goes untreated. 2	B. Discuss the consequences when perinatal mental illness goes untreated. 3	B. Discuss the consequences when perinatal mental illness goes untreated. 4	B. Discuss the consequences when perinatal mental illness goes untreated. 5	B. Discuss the consequences when perinatal mental illness goes untreated. N/A
C. Explain how to screen and refer to appropriate resources.	C. Explain how to screen and refer to appropriate resources. 1	C. Explain how to screen and refer to appropriate resources. 2	C. Explain how to screen and refer to appropriate resources. 3	C. Explain how to screen and refer to appropriate resources. 4	C. Explain how to screen and refer to appropriate resources. 5	C. Explain how to screen and refer to appropriate resources. N/A
D. Relate how to assist clients in implementing the “building your village perspective.”	D. Relate how to assist clients in implementing the “building your village perspective.” 1	D. Relate how to assist clients in implementing the “building your village perspective.” 2	D. Relate how to assist clients in implementing the “building your village perspective.” 3	D. Relate how to assist clients in implementing the “building your village perspective.” 4	D. Relate how to assist clients in implementing the “building your village perspective.” 5	D. Relate how to assist clients in implementing the “building your village perspective.” N/A

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

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A. Lauren DePaola, LCSW	A. Lauren DePaola, LCSW 1	A. Lauren DePaola, LCSW 2	A. Lauren DePaola, LCSW 3	A. Lauren DePaola, LCSW 4	A. Lauren DePaola, LCSW 5	A. Lauren DePaola, LCSW N/A
B. Diane Banigo, DNP, CNM	B. Diane Banigo, DNP, CNM 1	B. Diane Banigo, DNP, CNM 2	B. Diane Banigo, DNP, CNM 3	B. Diane Banigo, DNP, CNM 4	B. Diane Banigo, DNP, CNM 5	B. Diane Banigo, DNP, CNM N/A

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

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

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

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

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* 7. What additional information would have been helpful?

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* 8. Additional comments

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

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* 10. Email (optional)