II 10.16.22 Integrate Intensive Professionals Program
How would you like your name to appear on your certificate?
Profession
Select Your Profession
Addication Professional
Counselor
Marriage and Family Therapist
Other
Social Worker
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How many credit hours did you complete?
Credit Hours (maximum: 23.0)
Agreement
By completing this form, you attest that you have attended the number of hours you have indicated above.
I agree
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Please rate your satisfaction with the content and quality of the program:
Very Satisfied
Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Dissatisfied
Very Dissatisfied
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Was the educational content scientifically sound?
Yes
No
If no, please explain...
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Did you perceive any commercial bias or influence in the educational content?
Yes
No
If yes, what...
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Did this program improve your competence or performance?
Yes
No
If yes, how...
If no, please explain...
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What did you learn that will help you in your practice?
The program was up-to-date and relevant to my professional practice.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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Were the following objectives met?
Educate clinicians about the life long effects of developmental trauma using a variety of modalities, including their own personal experiential work….. In order to further their effectiveness in treating trauma survivors.
Yes
No
I don't know
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Was the location suitable?
Yes
No
Not applicable
The facilities were conducive to learning.
Yes
No
Not applicable
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Rate the following for all instructors
Instructor was knowledgeable about the content.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Not applicable
Rate the following for all instructors
Instructor presented the subject matter clearly.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Not applicable
Rate the following for all instructors
Instructor was responsive.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Not applicable
Rate the following for all instructors
Instructor used technology, hand outs and other learning aids effectively.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Not applicable
Additional questions about the instructor(s)
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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.
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