Quiz & Evaluation Form (For ASHA CEU): Incorporating DIRFloortime into Preschool Settings (1/29/26)

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* 1. NEW (IMPORTANT): Since July 2025, we have been reflecting ASHA's new policy on how to obtain your ASHA CEUs.

In addition to your attendance during the webinar, and answering this evaluation form, you will now be required to take an assessment (post-quiz) at the end of the webinar.

THE QUIZ IS ON THE NEXT PAGE. PLEASE BE READY.

For more information, you may go to https://www.asha.org/ce/for-providers/admin/outcome-assessment-and-satisfactory-completion/

I understand this new policy and will follow accordingly. I'm ready to take the quiz on the next page.

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* 2. Your Full Name (No Incomplete/Nicknames, Please)

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* 3. Overall Feedback

	Very Dissatisfied	Dissatisfied	Neither Satisfied nor Dissatisfied	Satisfied	Very Satisfied	N/A
Presentation	Presentation Very Dissatisfied	Presentation Dissatisfied	Presentation Neither Satisfied nor Dissatisfied	Presentation Satisfied	Presentation Very Satisfied	Presentation N/A
Technology Used	Technology Used Very Dissatisfied	Technology Used Dissatisfied	Technology Used Neither Satisfied nor Dissatisfied	Technology Used Satisfied	Technology Used Very Satisfied	Technology Used N/A
Registration	Registration Very Dissatisfied	Registration Dissatisfied	Registration Neither Satisfied nor Dissatisfied	Registration Satisfied	Registration Very Satisfied	Registration N/A
Overall Rating	Overall Rating Very Dissatisfied	Overall Rating Dissatisfied	Overall Rating Neither Satisfied nor Dissatisfied	Overall Rating Satisfied	Overall Rating Very Satisfied	Overall Rating N/A

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* 4. Presenter Feedback

	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree	N/A
The presentation was well organized.	The presentation was well organized. Strongly Disagree	The presentation was well organized. Disagree	The presentation was well organized. Neither Agree nor Disagree	The presentation was well organized. Agree	The presentation was well organized. Strongly Agree	The presentation was well organized. N/A
The presenter was clear and concise.	The presenter was clear and concise. Strongly Disagree	The presenter was clear and concise. Disagree	The presenter was clear and concise. Neither Agree nor Disagree	The presenter was clear and concise. Agree	The presenter was clear and concise. Strongly Agree	The presenter was clear and concise. N/A
The presenter was knowledgeable about the topic being discussed.	The presenter was knowledgeable about the topic being discussed. Strongly Disagree	The presenter was knowledgeable about the topic being discussed. Disagree	The presenter was knowledgeable about the topic being discussed. Neither Agree nor Disagree	The presenter was knowledgeable about the topic being discussed. Agree	The presenter was knowledgeable about the topic being discussed. Strongly Agree	The presenter was knowledgeable about the topic being discussed. N/A
The technology used to present was effective.	The technology used to present was effective. Strongly Disagree	The technology used to present was effective. Disagree	The technology used to present was effective. Neither Agree nor Disagree	The technology used to present was effective. Agree	The technology used to present was effective. Strongly Agree	The technology used to present was effective. N/A
The Course Objectives were achieved.	The Course Objectives were achieved. Strongly Disagree	The Course Objectives were achieved. Disagree	The Course Objectives were achieved. Neither Agree nor Disagree	The Course Objectives were achieved. Agree	The Course Objectives were achieved. Strongly Agree	The Course Objectives were achieved. N/A
The handouts / visual presentation was useful.	The handouts / visual presentation was useful. Strongly Disagree	The handouts / visual presentation was useful. Disagree	The handouts / visual presentation was useful. Neither Agree nor Disagree	The handouts / visual presentation was useful. Agree	The handouts / visual presentation was useful. Strongly Agree	The handouts / visual presentation was useful. N/A
The content is appropriate for my education/experience/licensure level.	The content is appropriate for my education/experience/licensure level. Strongly Disagree	The content is appropriate for my education/experience/licensure level. Disagree	The content is appropriate for my education/experience/licensure level. Neither Agree nor Disagree	The content is appropriate for my education/experience/licensure level. Agree	The content is appropriate for my education/experience/licensure level. Strongly Agree	The content is appropriate for my education/experience/licensure level. N/A

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* 5. The following objectives were met:

	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree	N/A
1- Explain how children’s Functional Emotional Developmental Capacities (FEDCs) inform goals and expectations, including “meeting a child where they are.”	1- Explain how children’s Functional Emotional Developmental Capacities (FEDCs) inform goals and expectations, including “meeting a child where they are.” Strongly Disagree	1- Explain how children’s Functional Emotional Developmental Capacities (FEDCs) inform goals and expectations, including “meeting a child where they are.” Disagree	1- Explain how children’s Functional Emotional Developmental Capacities (FEDCs) inform goals and expectations, including “meeting a child where they are.” Neither Agree nor Disagree	1- Explain how children’s Functional Emotional Developmental Capacities (FEDCs) inform goals and expectations, including “meeting a child where they are.” Agree	1- Explain how children’s Functional Emotional Developmental Capacities (FEDCs) inform goals and expectations, including “meeting a child where they are.” Strongly Agree	1- Explain how children’s Functional Emotional Developmental Capacities (FEDCs) inform goals and expectations, including “meeting a child where they are.” N/A
2- Describe ways to incorporate two DIRFloortime strategies into their work with specific children, considering the materials and equipment available.	2- Describe ways to incorporate two DIRFloortime strategies into their work with specific children, considering the materials and equipment available. Strongly Disagree	2- Describe ways to incorporate two DIRFloortime strategies into their work with specific children, considering the materials and equipment available. Disagree	2- Describe ways to incorporate two DIRFloortime strategies into their work with specific children, considering the materials and equipment available. Neither Agree nor Disagree	2- Describe ways to incorporate two DIRFloortime strategies into their work with specific children, considering the materials and equipment available. Agree	2- Describe ways to incorporate two DIRFloortime strategies into their work with specific children, considering the materials and equipment available. Strongly Agree	2- Describe ways to incorporate two DIRFloortime strategies into their work with specific children, considering the materials and equipment available. N/A
3- Identify three strategies for supporting parents within the DIRFloortime model.	3- Identify three strategies for supporting parents within the DIRFloortime model. Strongly Disagree	3- Identify three strategies for supporting parents within the DIRFloortime model. Disagree	3- Identify three strategies for supporting parents within the DIRFloortime model. Neither Agree nor Disagree	3- Identify three strategies for supporting parents within the DIRFloortime model. Agree	3- Identify three strategies for supporting parents within the DIRFloortime model. Strongly Agree	3- Identify three strategies for supporting parents within the DIRFloortime model. N/A

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* 6. Registration Feedback

	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree	N/A
My questions/concerns were addressed efficiently.	My questions/concerns were addressed efficiently. Strongly Disagree	My questions/concerns were addressed efficiently. Disagree	My questions/concerns were addressed efficiently. Neither Agree nor Disagree	My questions/concerns were addressed efficiently. Agree	My questions/concerns were addressed efficiently. Strongly Agree	My questions/concerns were addressed efficiently. N/A
The registration process was straightforward.	The registration process was straightforward. Strongly Disagree	The registration process was straightforward. Disagree	The registration process was straightforward. Neither Agree nor Disagree	The registration process was straightforward. Agree	The registration process was straightforward. Strongly Agree	The registration process was straightforward. N/A
Instructions for requesting accomodations were clear.	Instructions for requesting accomodations were clear. Strongly Disagree	Instructions for requesting accomodations were clear. Disagree	Instructions for requesting accomodations were clear. Neither Agree nor Disagree	Instructions for requesting accomodations were clear. Agree	Instructions for requesting accomodations were clear. Strongly Agree	Instructions for requesting accomodations were clear. N/A

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* 7. What did you like best about the workshop?

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* 8. Please write any suggestions to further improve this specific workshop or for Young Child Learning in general:

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* 9. Do you wish to obtain ASHA CEUs?

Yes, I wish to earn ASHA CEUs for this course, and I consent to having my name, email address, mailing address, phone number, and ASHA ID number sent to ASHA CE.

No, I do not wish to earn ASHA CEUs.

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* 10. Please read and check the box:

By checking this box, I understand that I am giving Young Child Learning permission to send my information to ASHA CE.

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* 11. Your ASHA ID Number

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* 12. Your Full Home Address

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* 13. Please note you will NOT receive any ASHA CE Certificate as per ASHA policy. ASHA will reflect your CE credits on your ASHA CEU Registry within 45 days. It is only through the ASHA Registry that your ASHA CE credits can be reflected. If you don't have an ASHA registry account and just want a simple certificate to acknowledge your attendance, please choose that option below.

You can learn more about obtaining your ASHA CE credits on their website:
https://www.asha.org/ce/faqs/faqs_registry/#ownrecord

I understand - I have an ASHA Registry Account, please reflect my CE Credits.

I don't have an ASHA Registry Account but I want a Certificate of Attendance.

Both - Please reflect my CE Credits on the ASHA Registry and provide me a Certificate of Attendance.