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FOU 2018 Professionals Day - Fall
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How would you like your name to appear on your certificate?



How many credit hours did you complete?
Agreement
By completing this form, you attest that you have attended the number of hours you have indicated above.
Notice to Florida Licensees: In order for us to report your hours to CE Broker, you MUST provide us with your Florida alpha-numeric license number (e.g. CDCA.XXXXXX, LICDCII.XXXXXX, LCDCII.XXXXXX, LICDC.XXXXXX). Please be sure to enter this number accurately, or CE Broker will not record your hours. 
Notice to OhioLicensees: In order for us to report your hours to CE Broker, you MUST provide us with your Ohio alpha-numeric license number (e.g. CDCA.XXXXXX, LICDCII.XXXXXX, LCDCII.XXXXXX, LICDC.XXXXXX). Please be sure to enter this number accurately, or CE Broker will not record your hours. 
CHES MEMBERS ONLY -- Please enter your CHES ID#
Please rate your satisfaction with the content and quality of the program: 
Was the educational content scientifically sound?
If no, please explain...
Did you perceive any commercial bias or influence in the educational content?
If yes, what...
Did this program improve your competence or performance? 
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 practice 
Were the following objectives met?
Gain an understanding of the important factors that complicate addiction treatment and treatment interventions that can be used in working with complex clients.
Were the following objectives met?
Understand the impact of addiction on families as well as the opioid crisis and specific therapeutic solutions.
Were the following objectives met?
Recognize the impact of addiction on families as well as the opioid crisis and specific therapeutic solutions.
Was the location suitable?
The facilities were conducive to learning
Rate the following for all instructors
Instructor was knowledgeable about the content
Rate the following for all instructors
Instructor presented the subject matter clearly
Rate the following for all instructors
Instructor was responsive 
Rate the following for all instructors
Instructor used technology, hand outs and other learning aids effectively
Additional questions about the instructor(s)
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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