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Dialectical Behavior Therapy (DBT): Working With the Challenges of Mental Health, Addictions and Dual Diagnosis

Continuing Education (CE) Program Evaluation Form

  • Thank you for participating in this HPA-sponsored event.  Please note that in order to receive CE credit, you must have been present (webinar participants must have been connected to the webinar) for the duration of the program.
  • A printable certificate of completion will be provided to you by e-mail.
  • HPA is approved by APA as a sponsor of continuing education. HPA maintains responsibility for the program and its content.
1.Name as you wish it to appear on the CE certificate
2.Email address:
3.Phone Number:
4.What is your profession?
Please rate each of the following:
INSTRUCTOR/SPEAKER
5.Seemed knowledgable concerning the topics covered
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
6.Was well-prepared and organized
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
7.Explained concepts clearly
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
8.Was responsive to questions
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
9.Used no prejudicial or stereotypical language
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
10.Used a teaching style conducive to meeting the stated objectives
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
CONTENT/FORMAT/LEARNING
11.Workshop description was accurate
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
12.New skills or knowledge were acquired
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
13.Format format/length was suitable to content
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
14.Content was appropriate to audience
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
15.Level of participant/instructor interaction was sufficient
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
16.Was the event length too long, too short, or about right?
OBJECTIVES
Learning objectives were met:
17.Building a foundation of mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness to treat challenging and complex clients
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
18.Learning and conceptualizing how to utilize the Meta Skills of DBT
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
19.Applying these skills to mental health, addiction, and dual diagnosis clients
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
20.Integrating a focus on self-care and effectively managing countertransference
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
RELEVANCY
21.How much did you learn as a result of this CE program?
1 -Very little
2
3
4
5 -Great deal
22.How useful was the content of this CE program for your practice or other professional development?
1 -Not useful
2
3
4
5 -Extremely useful
23.How likely is it that you would recommend this event to a colleague?
1 -Not Likely
2
3
4
5 -Very Likely
LOGISTICS/HPA STAFF
24.Enrollment was smooth and efficient
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
N/A
25.HPA staff were responsive and helpful
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
N/A
26.The quality of the medium or facility was adequate
1 -Strongly Disagree
2
3 -Neutral
4
5 -Strongly Agree
N/A
27.Comments and recommendations for change if the workshop was presented again (e.g., length, handouts, format, etc.)
28.Suggestions for future workshop topics
29.Overall, how would you rate the event?