1. About Continuing Education for this Event

GVAHEC is pleased to provide continuing education for this event. The following questions are REQUIRED in order to receive continuing education. 

Please be sure to provide a VALID email address. Continuing education certificates will be emailed to you as a PDF. Please allow 10 business days for processing.

If you do not receive your certificate within 10 business days of submitting you request please email:
Renee A. Ruby rruby@empowermentsystems.org or call 480-288-8260.
Anyone requesting continuing education certificates or certificates of completion must do so within 30 days of the event.

* Please provide the following information as you would like it to appear on your certificate.

* YOUR CERTIFICATE WILL BE EMAILED IN 10 Business DAYS>>>>Please provide a valid email address where your certificate will be sent and a phone number in case we have questions.

* Are you requesting continuing education for: (Select only one)

* If applicable, please include your license or registration number at is pertains to the certificates you requested above. If you selected "Certificate of Participation" no license number is required( please enter 0000).

* CE/CME Participant Satisfaction Survey
Please circle the number that best describes your agreement with the following statements.

1 Strongly Disagree
2 Disagree
3 No Opinion
4 Agree
5 Strongly Agree

  1 2 3 4 5
The educational objectives were well met.
The speakers demonstrated a thorough knowledge of the subject matter.
The presentation content related appropriately to the objectives.
I would recommend this program to my colleagues.
The training program /conference reflected current issues.
The speakers applied the material covered to the practice setting.
I attended this program because the content was relevant to my practice.
My expectations for this program were well met.
The speakers demonstrated product bias during the presentation.
Please rate the overall quality of the speakers.

* Of all the factors that influence your satisfaction in your current practice setting, how would you rate the provision of Continuing Education Opportunities? (Select One)


* Did you attend Both days- Sept 15 & 16, 2017?

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