CEU Application- "Sleep and Parkinson's"

PLEASE NOTE: IT WILL TAKE AT LEAST 45 DAYS from the date of your application to issue your CEU credit.

Please complete this online form BEFORE July 13, 2017 to be eligible for CEU credit. You can attend the live event or take advantage of the recorded program to claim your free CEU credit (thanks to the Parkinson’s Disease Foundation).

Your CEU certificate will be emailed to you at the address you provide.

Please note that there is a limit of one Board selection per person per event. Also note that IT WILL TAKE AT LEAST 45 DAYS to issue your CEU credit. Thank you for viewing the web seminar and completing this form for CEU credit.

The "PD ExpertBriefing" series is sponsored by the Parkinson’s Disease Foundation.

* 1. Please enter your contact information below.

* 2. Please enter your license number here. If you do not have a license number, please enter N/A

* 3. Profession / Occupation:

* 4. The email address that you used to access the live webinar to verify attendance. You MUST enter the EXACT email address you used to attend the live or the recorded webinar; entering a different or incomplete email address will prevent your CEU from being issued. If you are unsure of the email you used to attend, check your original confirmation email. 

* 5. Choose ONE webinar for which you are requesting CEUs.

CEUs are only available for 30 days following the live event. Also note that IT WILL TAKE AT LEAST 45 DAYS from the date of your application to process and issue your CEU credit. Your CEU’s will be emailed to you.

* 6. Session format:

* 7. Date(s) webinar was viewed: (must be before July 13, 2017 to receive CEU credit):

* 8. Select the BOARD for which you are requesting Continuing Education Credit (limit ONE board per attendee, per event).

If your profession or state or national board is not listed on the Board Approval List, please verify with your board or association regarding acceptance of one of the providers listed below before applying for CEUs.

* 9. If you selected Association of Social Work Boards (ASWB) OR American Occupational Therapy Association (AOTA) as your Board in question 8 above, you MUST complete the following 10 post-test questions, as required by ASWB and AOTA. Anyone selecting ASWB or AOTA who fails to complete the following 10 questions WILL NOT earn a CEU.

If you DID NOT select Association of Social Work Boards or American Occupational Therapy Association as your Board in question 8 above, you may skip ahead to question 19.

Association of Social Work Boards (ASWB) and American Occupational Therapy Association (AOTA) question 1: 

In PD, REM Sleep Behavior Disorder (RBD) can be treated with melatonin and Clonazepam.

* 10. Association of Social Work Boards (ASWB) and American Occupational Therapy Association (AOTA) question 2:

The most common form of sleep disorder breathing in persons with PD is sleep apnea.

* 11. Association of Social Work Boards (ASWB) and American Occupational Therapy Association (AOTA) question 3:

Treatments for Restless Leg Syndrome include all of the following EXCEPT:

* 12. Association of Social Work Boards (ASWB) and American Occupational Therapy Association (AOTA) question 4:

As many as _______ % of persons with PD have some disturbance of sleep patterns.

* 13. Association of Social Work Boards (ASWB) and American Occupational Therapy Association (AOTA) question 5:

Excessive daytime sleepiness (EDS) in persons with PD can be caused by symptoms of PD and ________

* 14. Association of Social Work Boards (ASWB) and American Occupational Therapy Association (AOTA) question 6:

Treatment for sleep apnea in persons with PD include weight loss, surgery and _____.

* 15. Association of Social Work Boards (ASWB) and American Occupational Therapy Association (AOTA) question 7:

Restless Legs Syndrome is _______.

* 16. Association of Social Work Boards (ASWB) and American Occupational Therapy Association (AOTA) question 8:

Sleep disorders in persons with PD never include excessive daytime sleepiness and nocturnal sleep disturbances.

* 17. Association of Social Work Boards (ASWB) and American Occupational Therapy Association (AOTA) question 9:

Sleep disorders in persons with PD never include excessive daytime sleepiness and nocturnal sleep disturbances.

* 18. Association of Social Work Boards (ASWB) and American Occupational Therapy Association (AOTA) question 10:

Excessive daytime sleepiness (EDS) in persons with PD can be treated by alterations of medication regimens and deep brain stimulation.

* 19. I am motivated to apply what I learned in this webinar to my work.

* 20. Please provide three examples of how you will apply what you have learned in this webinar to your work:

* 21. The session content fulfilled the objectives as stated in the web seminar.

* 22. I learned as much or more than I expected.

* 23. The training format of the live and/or recorded web seminar was effective.

* 24. This training will help positively inform my professional practice or performance.

* 25. The session was well-organized.

* 26. The session slides were clear and legible.

* 27. The session length was appropriate for this session.

* 29. I verify that I attended the entire hour-long event and am eligible for one hour of continuing education credit.

* 30. I acknowledge and understand that IT WILL TAKE AT LEAST 45 DAYS from the date of my application for my CEU credit to be issued to me.

* 31. Are you currently a member of ASA?

* 32. If you would like more information, please choose the appropriate box(es) below.

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