Question Title

* 1. First & Last Name

Question Title

* 2. Email Address? Your CE Certificate will be sent here

Question Title

* 3. Please expedite my CE Certificate by the date below (a calendar field). You will be emailed an invoice for $15 that must be paid online before your certificate is issued. Your certificate will list all sessions you completed.

Date

Question Title

* 4. A. Program (1 strongly disagree - 5 Strongly Agree)

  1 2 3 4 5
Overall, the program met or exceeded my expectations
I gained new knowledge as a result of this CE program
Length of the program was adequate
The program description was accurate
Audio/Visual aids were helpful
Handouts were current and useful

Question Title

* 5. A. Content (1 Not Useful - 5 Very Useful)

  1 2 3 4 5
How Useful was the content of this CE program for your practice or other professional development?

Question Title

* 6. A. Content (1 Very Little - 5 A Great Deal)

  1 2 3 4 5
How much did you learn as a result of this CE Program?

Question Title

* 7. B. Course Objectives (please indicate how well objectives were met, 1 strongly disagree - 5 Strongly Agree)

  1 2 3 4 5
1)  Develop basic knowledge regarding the prevalence of Psychoeducation topics and resources that can be used in clinical practice and  consequences related to cannabis use in individuals with common mental health disorders.
2) Gain basic knowledge of psychoeducation topics and assessment tools that can be used during clinical practice when working with patients considering using or currently using cannabis.
3) Gain basic knowledge of intervention options for individuals with cannabis use disorder.

Question Title

* 8. Evaluation of faculty in stated area (1 strongly disagree - 5 Strongly Agree)

  1 2 3 4 5
Presenter(s) seemed knowledgeable concerning topics covered
Presenter(s) were well prepared/organized
Presenter(s) answered questions satisfactorily
Content was presented clearly and effectively
Presenter(s) were responsive to questions and comments
Presenter(s)’ teaching style was effective
Content presented was applicable to my practice

Question Title

* 9. As a result of attending this course, I see the value to me in the following ways (check all that apply):

Question Title

* 10. By attending this course, I believe (check all that apply):

Question Title

* 11. Logistics/Staff (1 strongly disagree - 5 Strongly Agree)

  1 2 3 4 5
The enrollment was smooth and efficient
Staff was responsive and helpful
The quality of the facilities was adequate

Question Title

* 12. Comments and recommendations for change if program is presented again (e.g. length, handouts, format, etc.)?

Question Title

* 13. Suggestions for future program topics or other general comments? (please print legibly

Question Title

* 14. I am interested in serving on the Board of Trustees:

The next page has a few questions regarding the overall convention - These are not required but we would appreciate your input.

T