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

Profession

Agreement

By completing this form, you attest that you have attended the activity in its entirety.

I agree

Please rate the following:

Please rate Rie Rogers Mitchell as a presenter. You will have the opportunity to elaborate in the following question.

Please comment on Rie Rogers Mitchell's teaching ability, expertise, organization of materials, etc. - please use the space below:

Please rate Regina Driscoll as a presenter. You will have the opportunity to elaborate in the following question.

Please comment on Regina Driscoll's teaching ability, expertise, organization of materials, etc. - please use the space below:

The program was relevant to my work.

Content matched stated objectives.

Usefulness of handouts/AV.

Quality of facilities.

If you rated any of the above questions with 'fair,' 'poor,' 'disagree,' or 'strongly disagree' please explain:

Please answer the following:

Do you believe this activity was appropriate for the scope of your professional activities?

Was the mode of education effective to learning?

If you answered "No" to any of the above questions, please explain.

How much did you learn as a result of this educational program?

Having completed the activity, please rate how well are you able to meet each of the following objectives

Identify various approaches to understand the sandplay process

Describe common themes in the sandplay therapy process

Understand age and gender norms when analyzing sandplay scenes

Describe their intuitive understanding of the ways clients communicate in sandplay pictures

Discuss key elements in assessing the client's first sandtray

What did you learn during this activity that you intend to integrate into your practice?

What do you "need" to learn (versus "want" to learn) that should be addressed in future meetings that will result in improved competence, performance and/or patient outcomes in your practice?

Are you interested in basic, intermediate or advanced level trainings?

Basic

Intermediate

Advanced

What barriers might you have that would interfere with implementation of new information from this training?

How could this training be improved to impact your competence or performance in practice?

Additional comments:

Only Florida licensees need to answer this question. 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., PY1234, SS123, MH1234, MT1234). Please be sure you enter this number accurately, or CE Broker will not record your hours.