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

Profession

How many credit hours did you complete?

Credit Hours (maximum: 1.0)

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?

Examine psychiatric disorders on a developmental trajectory, from normal to “typical” to those requiring intensive services, and discuss general treatment guidelines.

Were the following objectives met?

Review and summarize steps and tools to use to detect and diagnose pediatric depression and anxiety, including suicide screening and prevention.

Yes

No

I don't know

Were the following objectives met?

Differentiate and evaluate mental health treatment levels of care, and how to work with and recommend to patients and their parents on the level of care as appraised by the physician.

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