FOU 2018 A Professional’s Perspective: Importance of Outcomes
How would you like your name to appear on your certificate?
Profession
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Addictions & Substance Abuse Counselor
Counselor
Employee Assistance Professionals
Marriage and Family Therapist
Nurse
Other
Physician
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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
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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.Â
CHES MEMBERS ONLY -- Please enter your CHES ID#
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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 practiceÂ
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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Were the following objectives met?
Review the definitions of quality and value and their application to our industry
Yes
No
I don't know
Were the following objectives met?
Distinguish the different stakeholder groups and apply the definitions of quality and value to their perspectives
Yes
No
I don't know
Were the following objectives met?
Recognize data sources, review standards and analyses that will address stakeholder questions
Yes
No
I don't know
Were the following objectives met?
Identify presentation strategies to target different stakeholder groups including consumers, referral sources and third-party payers
Yes
No
I don't know
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Was the location suitable?
Yes
No
The facilities were conducive to learning
Yes
No
Not sure
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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
Rate the following for all instructors
Instructor presented the subject matter clearly
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Rate the following for all instructors
Instructor was responsive
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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
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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