On Demand LSVT LOUD Webinar Certificate Request (ASHA CEUs, 2023)

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* 1. Please provide your name and e-mail address.

Name

Email Address

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* 2. What is the title of the LSVT LOUD On Demand webinar that you viewed?

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* 3. What is the date that you viewed the LSVT LOUD On Demand webinar?

Date / Time

Date

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* 4. Do you attest to viewing the webinar for the full duration?

Yes

No

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* 5. Please indicate your level of agreement with the learning objectives for this webinar series.

Note: The learning objectives were designed to encompass all webinars in the 2023 LSVT LOUD On Demand Webinar series. If you do not think a learning objective applied to the webinar you viewed, please select "N/A".

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	N/A. This learning objective if not applicable to the webinar viewed.
Upon conclusion of the webinar, I am able to identify recommendations and resources to support delivery of LSVT LOUD.	Upon conclusion of the webinar, I am able to identify recommendations and resources to support delivery of LSVT LOUD. Strongly Agree	Upon conclusion of the webinar, I am able to identify recommendations and resources to support delivery of LSVT LOUD. Agree	Upon conclusion of the webinar, I am able to identify recommendations and resources to support delivery of LSVT LOUD. Neutral	Upon conclusion of the webinar, I am able to identify recommendations and resources to support delivery of LSVT LOUD. Disagree	Upon conclusion of the webinar, I am able to identify recommendations and resources to support delivery of LSVT LOUD. Strongly Disagree	Upon conclusion of the webinar, I am able to identify recommendations and resources to support delivery of LSVT LOUD. N/A. This learning objective if not applicable to the webinar viewed.
Upon conclusion of the webinar, I am able to summarize treatment strategies and techniques to maximize functional impact for my clients.	Upon conclusion of the webinar, I am able to summarize treatment strategies and techniques to maximize functional impact for my clients. Strongly Agree	Upon conclusion of the webinar, I am able to summarize treatment strategies and techniques to maximize functional impact for my clients. Agree	Upon conclusion of the webinar, I am able to summarize treatment strategies and techniques to maximize functional impact for my clients. Neutral	Upon conclusion of the webinar, I am able to summarize treatment strategies and techniques to maximize functional impact for my clients. Disagree	Upon conclusion of the webinar, I am able to summarize treatment strategies and techniques to maximize functional impact for my clients. Strongly Disagree	Upon conclusion of the webinar, I am able to summarize treatment strategies and techniques to maximize functional impact for my clients. N/A. This learning objective if not applicable to the webinar viewed.
Upon conclusion of the webinar, I am able to integrate evidence-based research into your clinical practice.	Upon conclusion of the webinar, I am able to integrate evidence-based research into your clinical practice. Strongly Agree	Upon conclusion of the webinar, I am able to integrate evidence-based research into your clinical practice. Agree	Upon conclusion of the webinar, I am able to integrate evidence-based research into your clinical practice. Neutral	Upon conclusion of the webinar, I am able to integrate evidence-based research into your clinical practice. Disagree	Upon conclusion of the webinar, I am able to integrate evidence-based research into your clinical practice. Strongly Disagree	Upon conclusion of the webinar, I am able to integrate evidence-based research into your clinical practice. N/A. This learning objective if not applicable to the webinar viewed.

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* 6. Please rate the audio and visual quality of the webinar.

	Excellent	Good	Acceptable	Poor	Horrible
Audio Quality	Audio Quality Excellent	Audio Quality Good	Audio Quality Acceptable	Audio Quality Poor	Audio Quality Horrible
Visual Quality	Visual Quality Excellent	Visual Quality Good	Visual Quality Acceptable	Visual Quality Poor	Visual Quality Horrible

Comments on audio or visual quality:

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* 7. If you have any suggestions for future webinar topics we would love your input! Please provide any suggestions below.

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* 8. If you have any additional comments, please include them below.

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* 9. If you have a question for an LSVT LOUD Faculty Instructor, please write it below and include your contact info (name, phone number and/or e-mail address) so we may reach out to you.

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* 10. Would you like a certificate for viewing the webinar? If you select yes, a certificate will be e-mailed to you within two weeks of the request date.

Yes

No

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* 11. Would you like LSVT Global to report your course completion to the ASHA CE registry?

Note: If you select no, then the survey will be complete. If you select yes, you must answer the remaining questions.

Yes

No