ASCH Level 1 Clinical Workshop Day 1 PEDGI

Day 1

Please rate the workshop session. Your feedback is extremely important to continued growth of the program.

Question Title

1. Session 1: Introduction To Clinical Hypnosis HISTORY, DEFINITIONS, COMMON MISCONCEPTIONS (.5 CE/CME) [Keating]‎ (Required.)

	Poor	Fair	Good	Very Good	Excellent
How well did the session meet its stated objectives	How well did the session meet its stated objectives Poor	How well did the session meet its stated objectives Fair	How well did the session meet its stated objectives Good	How well did the session meet its stated objectives Very Good	How well did the session meet its stated objectives Excellent
The quality of the content	The quality of the content Poor	The quality of the content Fair	The quality of the content Good	The quality of the content Very Good	The quality of the content Excellent
The scope of coverage	The scope of coverage Poor	The scope of coverage Fair	The scope of coverage Good	The scope of coverage Very Good	The scope of coverage Excellent
The depth of coverage	The depth of coverage Poor	The depth of coverage Fair	The depth of coverage Good	The depth of coverage Very Good	The depth of coverage Excellent
The effectiveness of the teaching method(s) was	The effectiveness of the teaching method(s) was Poor	The effectiveness of the teaching method(s) was Fair	The effectiveness of the teaching method(s) was Good	The effectiveness of the teaching method(s) was Very Good	The effectiveness of the teaching method(s) was Excellent

Question Title

2. Session 1 Course Objectives: How well do you feel you will be able to perform the following based on the stated learning objectives? (Required.)

	Poor	Fair	Good	Very Good	Excellent
-Provide at least one commonly accepted definition of clinical hypnosis;	-Provide at least one commonly accepted definition of clinical hypnosis; Poor	-Provide at least one commonly accepted definition of clinical hypnosis; Fair	-Provide at least one commonly accepted definition of clinical hypnosis; Good	-Provide at least one commonly accepted definition of clinical hypnosis; Very Good	-Provide at least one commonly accepted definition of clinical hypnosis; Excellent
-Explain four hypnosis terms and how they apply to the clinical hypnosis experience;	-Explain four hypnosis terms and how they apply to the clinical hypnosis experience; Poor	-Explain four hypnosis terms and how they apply to the clinical hypnosis experience; Fair	-Explain four hypnosis terms and how they apply to the clinical hypnosis experience; Good	-Explain four hypnosis terms and how they apply to the clinical hypnosis experience; Very Good	-Explain four hypnosis terms and how they apply to the clinical hypnosis experience; Excellent
-Define two commonly held misperceptions concerning hypnosis and give an accurate rebuttal for each.	-Define two commonly held misperceptions concerning hypnosis and give an accurate rebuttal for each. Poor	-Define two commonly held misperceptions concerning hypnosis and give an accurate rebuttal for each. Fair	-Define two commonly held misperceptions concerning hypnosis and give an accurate rebuttal for each. Good	-Define two commonly held misperceptions concerning hypnosis and give an accurate rebuttal for each. Very Good	-Define two commonly held misperceptions concerning hypnosis and give an accurate rebuttal for each. Excellent

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3. Session 2: GROUP EXPERIENCE (.5 CE/CME) [Thomson] (Required.)

	Poor	Fair	Good	Very Good	Excellent
How well did the session meet its stated objectives	How well did the session meet its stated objectives Poor	How well did the session meet its stated objectives Fair	How well did the session meet its stated objectives Good	How well did the session meet its stated objectives Very Good	How well did the session meet its stated objectives Excellent
The quality of the content	The quality of the content Poor	The quality of the content Fair	The quality of the content Good	The quality of the content Very Good	The quality of the content Excellent
The scope of coverage	The scope of coverage Poor	The scope of coverage Fair	The scope of coverage Good	The scope of coverage Very Good	The scope of coverage Excellent
The depth of coverage	The depth of coverage Poor	The depth of coverage Fair	The depth of coverage Good	The depth of coverage Very Good	The depth of coverage Excellent
The effectiveness of the teaching method(s) was	The effectiveness of the teaching method(s) was Poor	The effectiveness of the teaching method(s) was Fair	The effectiveness of the teaching method(s) was Good	The effectiveness of the teaching method(s) was Very Good	The effectiveness of the teaching method(s) was Excellent

Question Title

4. Session 2 Course Objectives: How well do you feel you will be able to perform the following based on the stated learning objectives? (Required.)

	Poor	Fair	Good	Very Good	Excellent
Experience clinical hypnosis	Experience clinical hypnosis Poor	Experience clinical hypnosis Fair	Experience clinical hypnosis Good	Experience clinical hypnosis Very Good	Experience clinical hypnosis Excellent
Identify 3 aspects of their individual experience of trance.	Identify 3 aspects of their individual experience of trance. Poor	Identify 3 aspects of their individual experience of trance. Fair	Identify 3 aspects of their individual experience of trance. Good	Identify 3 aspects of their individual experience of trance. Very Good	Identify 3 aspects of their individual experience of trance. Excellent
Describe the use of hypnotic language and suggestions utilized in the group experience.	Describe the use of hypnotic language and suggestions utilized in the group experience. Poor	Describe the use of hypnotic language and suggestions utilized in the group experience. Fair	Describe the use of hypnotic language and suggestions utilized in the group experience. Good	Describe the use of hypnotic language and suggestions utilized in the group experience. Very Good	Describe the use of hypnotic language and suggestions utilized in the group experience. Excellent

Question Title

5. Session 3: NEUROSCIENCE OF HYPNOSIS (.75 CE/CME) [Thomson] (Required.)

	Poor	Fair	Good	Very Good	Excellent
How well did the session meet its stated objectives	How well did the session meet its stated objectives Poor	How well did the session meet its stated objectives Fair	How well did the session meet its stated objectives Good	How well did the session meet its stated objectives Very Good	How well did the session meet its stated objectives Excellent
The quality of the content	The quality of the content Poor	The quality of the content Fair	The quality of the content Good	The quality of the content Very Good	The quality of the content Excellent
The scope of coverage	The scope of coverage Poor	The scope of coverage Fair	The scope of coverage Good	The scope of coverage Very Good	The scope of coverage Excellent
The depth of coverage	The depth of coverage Poor	The depth of coverage Fair	The depth of coverage Good	The depth of coverage Very Good	The depth of coverage Excellent
The effectiveness of the teaching method(s) was	The effectiveness of the teaching method(s) was Poor	The effectiveness of the teaching method(s) was Fair	The effectiveness of the teaching method(s) was Good	The effectiveness of the teaching method(s) was Very Good	The effectiveness of the teaching method(s) was Excellent

Question Title

6. Session 3 Course Objectives: How well do you feel you will be able to perform the following based on the stated learning objectives? (Required.)

	Poor	Fair	Good	Very Good	Excellent
Describe how hypnosis affects the autonomic nervous system and the stress response;	Describe how hypnosis affects the autonomic nervous system and the stress response; Poor	Describe how hypnosis affects the autonomic nervous system and the stress response; Fair	Describe how hypnosis affects the autonomic nervous system and the stress response; Good	Describe how hypnosis affects the autonomic nervous system and the stress response; Very Good	Describe how hypnosis affects the autonomic nervous system and the stress response; Excellent
Detail three implications of neurophysiological research on the practice of clinical hypnosis	Detail three implications of neurophysiological research on the practice of clinical hypnosis Poor	Detail three implications of neurophysiological research on the practice of clinical hypnosis Fair	Detail three implications of neurophysiological research on the practice of clinical hypnosis Good	Detail three implications of neurophysiological research on the practice of clinical hypnosis Very Good	Detail three implications of neurophysiological research on the practice of clinical hypnosis Excellent

Question Title

7. Session 4: HYPNOSIS AND THE GI TRACT (.75 CE/CME) [Cherry] (Required.)

	Poor	Fair	Good	Very Good	Excellent
How well did the session meet its stated objectives	How well did the session meet its stated objectives Poor	How well did the session meet its stated objectives Fair	How well did the session meet its stated objectives Good	How well did the session meet its stated objectives Very Good	How well did the session meet its stated objectives Excellent
The quality of the content	The quality of the content Poor	The quality of the content Fair	The quality of the content Good	The quality of the content Very Good	The quality of the content Excellent
The scope of coverage	The scope of coverage Poor	The scope of coverage Fair	The scope of coverage Good	The scope of coverage Very Good	The scope of coverage Excellent
The depth of coverage	The depth of coverage Poor	The depth of coverage Fair	The depth of coverage Good	The depth of coverage Very Good	The depth of coverage Excellent
The effectiveness of the teaching method(s) was	The effectiveness of the teaching method(s) was Poor	The effectiveness of the teaching method(s) was Fair	The effectiveness of the teaching method(s) was Good	The effectiveness of the teaching method(s) was Very Good	The effectiveness of the teaching method(s) was Excellent

Question Title

8. Session 4 Course Objectives: How well do you feel you will be able to perform the following based on the stated learning objectives? (Required.)

	Poor	Fair	Good	Very Good	Excellent
-Describe how hypnosis change gastrointestinal physiology	-Describe how hypnosis change gastrointestinal physiology Poor	-Describe how hypnosis change gastrointestinal physiology Fair	-Describe how hypnosis change gastrointestinal physiology Good	-Describe how hypnosis change gastrointestinal physiology Very Good	-Describe how hypnosis change gastrointestinal physiology Excellent
-Describe results of at least one clinical trial of hypnosis for chronic abdominal pain in children	-Describe results of at least one clinical trial of hypnosis for chronic abdominal pain in children Poor	-Describe results of at least one clinical trial of hypnosis for chronic abdominal pain in children Fair	-Describe results of at least one clinical trial of hypnosis for chronic abdominal pain in children Good	-Describe results of at least one clinical trial of hypnosis for chronic abdominal pain in children Very Good	-Describe results of at least one clinical trial of hypnosis for chronic abdominal pain in children Excellent

Question Title

9. Session 5: HYPNOSIS WITH CHILDREN (.75 CE/CME) [Thomson] (Required.)

	Poor	Fair	Good	Very Good	Excellent
How well did the session meet its stated objectives	How well did the session meet its stated objectives Poor	How well did the session meet its stated objectives Fair	How well did the session meet its stated objectives Good	How well did the session meet its stated objectives Very Good	How well did the session meet its stated objectives Excellent
The quality of the content	The quality of the content Poor	The quality of the content Fair	The quality of the content Good	The quality of the content Very Good	The quality of the content Excellent
The scope of coverage	The scope of coverage Poor	The scope of coverage Fair	The scope of coverage Good	The scope of coverage Very Good	The scope of coverage Excellent
The depth of coverage	The depth of coverage Poor	The depth of coverage Fair	The depth of coverage Good	The depth of coverage Very Good	The depth of coverage Excellent
The effectiveness of the teaching method(s) was	The effectiveness of the teaching method(s) was Poor	The effectiveness of the teaching method(s) was Fair	The effectiveness of the teaching method(s) was Good	The effectiveness of the teaching method(s) was Very Good	The effectiveness of the teaching method(s) was Excellent

Question Title

10. Session 5 Course Objectives: How well do you feel you will be able to perform the following based on the stated learning objectives? (Required.)

	Poor	Fair	Good	Very Good	Excellent
-Identify three developmental characteristics that make children particularly hypnotizable	-Identify three developmental characteristics that make children particularly hypnotizable Poor	-Identify three developmental characteristics that make children particularly hypnotizable Fair	-Identify three developmental characteristics that make children particularly hypnotizable Good	-Identify three developmental characteristics that make children particularly hypnotizable Very Good	-Identify three developmental characteristics that make children particularly hypnotizable Excellent
-Describe how hypnotic approaches vary according to the developmental age of the child	-Describe how hypnotic approaches vary according to the developmental age of the child Poor	-Describe how hypnotic approaches vary according to the developmental age of the child Fair	-Describe how hypnotic approaches vary according to the developmental age of the child Good	-Describe how hypnotic approaches vary according to the developmental age of the child Very Good	-Describe how hypnotic approaches vary according to the developmental age of the child Excellent

Question Title

11. Session 6 DEMONSTRATION OF A FORMAL HYPNOSIS SESSION (1.0 CE/CME) [Linden] (Required.)

	Poor	Fair	Good	Very Good	Excellent
How well did the session meet its stated objectives	How well did the session meet its stated objectives Poor	How well did the session meet its stated objectives Fair	How well did the session meet its stated objectives Good	How well did the session meet its stated objectives Very Good	How well did the session meet its stated objectives Excellent
The quality of the content	The quality of the content Poor	The quality of the content Fair	The quality of the content Good	The quality of the content Very Good	The quality of the content Excellent
The scope of coverage	The scope of coverage Poor	The scope of coverage Fair	The scope of coverage Good	The scope of coverage Very Good	The scope of coverage Excellent
The depth of coverage	The depth of coverage Poor	The depth of coverage Fair	The depth of coverage Good	The depth of coverage Very Good	The depth of coverage Excellent
The effectiveness of the teaching method(s) was	The effectiveness of the teaching method(s) was Poor	The effectiveness of the teaching method(s) was Fair	The effectiveness of the teaching method(s) was Good	The effectiveness of the teaching method(s) was Very Good	The effectiveness of the teaching method(s) was Excellent

Question Title

12. Session 6 Course Objectives: How well do you feel you will be able to perform the following based on the stated learning objectives? (Required.)

	Poor	Fair	Good	Very Good	Excellent
-Describe the steps in a formal hypnotic encounter;	-Describe the steps in a formal hypnotic encounter; Poor	-Describe the steps in a formal hypnotic encounter; Fair	-Describe the steps in a formal hypnotic encounter; Good	-Describe the steps in a formal hypnotic encounter; Very Good	-Describe the steps in a formal hypnotic encounter; Excellent
-Identify 2 characteristics of trance exhibited by the subject in this demonstration;	-Identify 2 characteristics of trance exhibited by the subject in this demonstration; Poor	-Identify 2 characteristics of trance exhibited by the subject in this demonstration; Fair	-Identify 2 characteristics of trance exhibited by the subject in this demonstration; Good	-Identify 2 characteristics of trance exhibited by the subject in this demonstration; Very Good	-Identify 2 characteristics of trance exhibited by the subject in this demonstration; Excellent
-Define 3 adjustments made by the facilitator during the reorientation phase.	-Define 3 adjustments made by the facilitator during the reorientation phase. Poor	-Define 3 adjustments made by the facilitator during the reorientation phase. Fair	-Define 3 adjustments made by the facilitator during the reorientation phase. Good	-Define 3 adjustments made by the facilitator during the reorientation phase. Very Good	-Define 3 adjustments made by the facilitator during the reorientation phase. Excellent

Question Title

13. Session 7 RAPPORT, TRANCE ELICITATION/FACILITATION, RE-ALERTING AND RE-ORIENTATION (1.0 CE/CME) [Cherry] (Required.)

	Poor	Fair	Good	Very Good	Excellent
How well did the session meet its stated objectives	How well did the session meet its stated objectives Poor	How well did the session meet its stated objectives Fair	How well did the session meet its stated objectives Good	How well did the session meet its stated objectives Very Good	How well did the session meet its stated objectives Excellent
The quality of the content	The quality of the content Poor	The quality of the content Fair	The quality of the content Good	The quality of the content Very Good	The quality of the content Excellent
The scope of coverage	The scope of coverage Poor	The scope of coverage Fair	The scope of coverage Good	The scope of coverage Very Good	The scope of coverage Excellent
The depth of coverage	The depth of coverage Poor	The depth of coverage Fair	The depth of coverage Good	The depth of coverage Very Good	The depth of coverage Excellent
The effectiveness of the teaching method(s) was	The effectiveness of the teaching method(s) was Poor	The effectiveness of the teaching method(s) was Fair	The effectiveness of the teaching method(s) was Good	The effectiveness of the teaching method(s) was Very Good	The effectiveness of the teaching method(s) was Excellent

Question Title

14. Session 7 Course Objectives: How well do you feel you will be able to perform the following based on the stated learning objectives? (Required.)

	Poor	Fair	Good	Very Good	Excellent
-Describe three effective ways to build and reinforce rapport	-Describe three effective ways to build and reinforce rapport Poor	-Describe three effective ways to build and reinforce rapport Fair	-Describe three effective ways to build and reinforce rapport Good	-Describe three effective ways to build and reinforce rapport Very Good	-Describe three effective ways to build and reinforce rapport Excellent
-Describe at least four observable physiological and four observable behavioral signs of trance	-Describe at least four observable physiological and four observable behavioral signs of trance Poor	-Describe at least four observable physiological and four observable behavioral signs of trance Fair	-Describe at least four observable physiological and four observable behavioral signs of trance Good	-Describe at least four observable physiological and four observable behavioral signs of trance Very Good	-Describe at least four observable physiological and four observable behavioral signs of trance Excellent
-Describe how to elicit a hypnotic trance state	-Describe how to elicit a hypnotic trance state Poor	-Describe how to elicit a hypnotic trance state Fair	-Describe how to elicit a hypnotic trance state Good	-Describe how to elicit a hypnotic trance state Very Good	-Describe how to elicit a hypnotic trance state Excellent
-Discuss the importance of removing suggestions	-Discuss the importance of removing suggestions Poor	-Discuss the importance of removing suggestions Fair	-Discuss the importance of removing suggestions Good	-Discuss the importance of removing suggestions Very Good	-Discuss the importance of removing suggestions Excellent
-Demonstrate at least three methods of reorienting	-Demonstrate at least three methods of reorienting Poor	-Demonstrate at least three methods of reorienting Fair	-Demonstrate at least three methods of reorienting Good	-Demonstrate at least three methods of reorienting Very Good	-Demonstrate at least three methods of reorienting Excellent

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15. Were appropriate disclosures of any personal or commercial relationships or conflicts of interest made? (Required.)

Yes

No

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16. Was your knowledge or skills enhanced by this activity? (Required.)

Yes

No

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17. Overall, how would you rate your experience for this session? (Required.)

Poor

Excellent

Poor

Excellent

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18. Please provide any other or overall comments you might have related to your experience today.

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19. Your Name (please note that your name is only recorded to check completion and is not shared with your evaluation data) (Required.)