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

Profession

How many credit hours did you complete?

Credit Hours (maximum: 1.5)

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?

Review the PASRR regulatory expectations for person-centered approaches and cultural considerations. Describe culture and cultural norms and how they affect our values, priorities, and way of life.

Were the following objectives met?

Describe the definitions of cultural and linguistic competence and a Cultural and linguistic competency framework (U.S. Department of Health and human Servies, Office of Minority Health - Culturally and Linguistically Appropriate Servies (CLAS) Standards).

Were the following objectives met?

Apply cultural and linguistic competency standards to PASRR.

Yes

No

Was the location suitable?

Yes

No

The facilities were conducive to learning

Yes

No

Not sure

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