Skip to content
Continuing Education Information for Social Workers
Vinfen's Moving Images Film Festival
Saturday, March 26, 2022
This program has been approved for 6 Social Work Continuing Education hours for relicensure, in accordance with 258 CMR. NASW-MA Chapter CE Approving Program, Authorization Number D90977.
We appreciate you taking the time to fill out this evaluation with some thoughtfulness and care. Please note, attendance will be monitored via the Eventive platform and only Social Workers who view all films and live panel discussions to their entirety will be eligible to receive a CE Certificate.
Please submit this form by
April 1
in order to receive continuing education contact hours.
Once the event concludes, your certificate will be emailed to you within 8 weeks. It is essential Vinfen has your email address and license number for certificate purposes. Thank you! If you have any issues with this form or have questions, please email filmfestival@vinfen.org. Thank you.
*
Please Select One
(Required.)
LCSW
LICSW
LSW
LMFT (certificate of attendance only
*
Please fill out the below
(Required.)
Name:
Address:
City:
State:
Zip:
Telephone No.:
Email Address:
State / License Number / Type:
Accrediting bodies require that name, addresses, license numbers and/or social security numbers be kept on file for two years.
EVALUATION FORM
*
I. ACHIEVEMENT OF CONFERENCE OBJECTIVES:
Please indicate your level of agreement with the following learning/event objectives:
1 = strongly disagree ; 2 = disagree ; 3 = neutral ; 4 = agree ; 5 = strongly agree
(Required.)
1 =
strongly disagree
2 =
disagree
3 =
neutral
4 =
agree
5 =
strongly agree
After viewing these films, I learned that vulnerable populations (such as individuals with autism or those who are incarcerated) have improved outcomes with supports and services.
1 =
strongly disagree
2 =
disagree
3 =
neutral
4 =
agree
5 =
strongly agree
After viewing these films, I believe that as a Social Worker, I am instrumental in addressing barriers through advocacy, program and policy development, and community-based endeavors that promote change.
1 =
strongly disagree
2 =
disagree
3 =
neutral
4 =
agree
5 =
strongly agree
After viewing these films and panel discussions, I learned to appreciate the importance of partnering with institutional systems (such as criminal justice) as they develop mental health treatment responses to assist a person from incarceration to recovery.
1 =
strongly disagree
2 =
disagree
3 =
neutral
4 =
agree
5 =
strongly agree
After viewing these films, I learned that moving a person from incarceration to recovery by providing mental health services provides the best outcome for the person and for the community.
1 =
strongly disagree
2 =
disagree
3 =
neutral
4 =
agree
5 =
strongly agree
After viewing these films, I learned that all humans desire to have fulfillment and feel worthy which was highlighted by those with communication challenges (autism), or those experiencing despair (suicidal ideation), or those that feel marginalized (incarceration).
1 =
strongly disagree
2 =
disagree
3 =
neutral
4 =
agree
5 =
strongly agree
After viewing these films, I believe that as a Social Worker, I can identify and implement approaches that allow individuals the opportunity to openly express their desires and needs in a non-judgmental, caring, and therapeutic space to improve positive outcomes.
1 =
strongly disagree
2 =
disagree
3 =
neutral
4 =
agree
5 =
strongly agree
After viewing these films, I learned about specialized populations that are more vulnerable to risk of suicide (veterans, college students, LGBTQ, individuals with autism, etc.).
1 =
strongly disagree
2 =
disagree
3 =
neutral
4 =
agree
5 =
strongly agree
After viewing these films, I learned about suicide prevention strategies and resources.
1 =
strongly disagree
2 =
disagree
3 =
neutral
4 =
agree
5 =
strongly agree
II. PANEL PRESENTATIONS
*
WAKE UP
Please rate each of the following on a scale of 1-5
1 = strongly disagree ; 2 = disagree ; 3 = neutral ; 4 = agree ; 5 = strongly agree
(Required.)
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The learning objectives for the panel were clearly stated.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The presenters were well prepared and organized.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The presenters demonstrated appropriate knowledge and expertise.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
There was sufficient time allowed during the panel discussion to permit learning.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The presenters answered questions in a satisfactory manner.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The panel discussion was interesting.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The panel discussion content matched the stated learning objectives.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The panel discussion content extended my knowledge of the topic.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
Sufficient time was provided to ask questions.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The panel discussion content included clinically applicable material.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
ADDITIONAL COMMENTS - WAKE UP
*
THE DEFINITION OF INSANITY
Please rate each of the following on a scale of 1-5
1 = strongly disagree ; 2 = disagree ; 3 = neutral ; 4 = agree ; 5 = strongly agree
(Required.)
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The learning objectives for the panel were clearly stated.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The presenters were well prepared and organized.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The presenters demonstrated appropriate knowledge and expertise.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
There was sufficient time allowed during the panel discussion to permit learning.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The presenters answered questions in a satisfactory manner.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The panel discussion was interesting.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The panel discussion content matched the stated learning objectives.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The panel discussion content extended my knowledge of the topic.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
Sufficient time was provided to ask questions.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The panel discussion content included clinically applicable material.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
ADDITIONAL COMMENTS - THE DEFINITION OF INSANITY
*
AUTISM: THE SEQUEL
Please rate each of the following on a scale of 1-5
1 = strongly disagree ; 2 = disagree ; 3 = neutral ; 4 = agree ; 5 = strongly agree
(Required.)
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The learning objectives for the panel were clearly stated.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The presenters were well prepared and organized.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The presenters demonstrated appropriate knowledge and expertise.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
There was sufficient time allowed during the panel discussion to permit learning.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The presenters answered questions in a satisfactory manner.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The panel discussion was interesting.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The panel discussion content matched the stated learning objectives.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The panel discussion content extended my knowledge of the topic.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
Sufficient time was provided to ask questions.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The panel discussion content included clinically applicable material.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
ADDITIONAL COMMENTS - AUTISM: THE SEQUEL
*
III. OVERALL PROGRAM / VIRTUAL FILM FESTIVAL EVENTIVE PLATFORM
Please rate each of the following on a scale of 1-5
1 = strongly disagree ; 2 = disagree ; 3 = neutral ; 4 = agree ; 5 = strongly agree
(Required.)
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The length of presentation was appropriate to the content.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The pace of the program was appropriate.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The program was well administered.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The virtual platform used for this program was appropriate.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
The learning environment stimulated idea exchange.
1 = strongly disagree
2 = disagree
3 = neutral
4 = agree
5 = strongly agree
Additional Comments on
"EVENTIVE" PLATFORM
*
Is there anything you felt the program lacked or that you would like to see changed for future programs?
(Required.)
IMPORTANT! Select which statement is true:
I hereby certify that I have watched all three films (Wake Up, The Definition of Insanity, and Autism: The Sequel) and all three live panels to their entirety on March 26, 2022 from 9:15 a.m. to 4:35 p.m.
I did
not
watch all three films and all three live panels to their entirety and therefore am not eligible to receive a CE Certificate.
Please submit this evaluation by April 1, 2022. Thank you!