How would you like your name to appear on your certificate?

Profession

How many credit hours did you complete?

Credit Hours (maximum: 16.0)

Agreement

By completing this form, you attest that you have attended the number of hours you have indicated above.

I agree

Please rate your satisfaction with the content and quality of the program:

Was the educational content scientifically sound?

Yes

No

If no, please explain...

Did you perceive any commercial bias or influence in the educational content?

Yes

No

If yes, what...

Did this program improve your competence or performance?

Yes

No

If yes, how...

If no, please explain...

What did you learn that will help you in your practice?

The program was up-to-date and relevant to my professional practiceÂ

Were the following objectives met?

Demonstrate awareness of the history of oppression and mental health disparities within diverse populations and understand the rationale for developing cultural responsiveness professionally and personally, and how it will help your clients.

Were the following objectives met?

Define and discuss at least three (3) of the barriers to cultural responsiveness within your system of care.

Were the following objectives met?

Discuss the content and application of at least three (3) strategies for becoming more skilled at providing culturally responsive care.

Technology user friendly?

Yes

No

The course material presented the course content effectively?

Yes

No

What questions are you having in your practice that you would like to see addressed in an educational activity?

Were questions, concerns and accommodations were addressed efficiently and in a timely manner?

Additional comments, questions or concerns