Logo1
FOU-39 Professionals Weekend - October 20-21, 2012
Mr pencil

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



Agreement
By completing this form, you attest that you have attended the activity in its entirety.
Please rate the following:
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question.
If you have additional comments regarding the session or individual speaker(s) - e.g. 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 in detail (e.g. session title, speaker name, situation):

Please answer the following:
Do you believe this activity was appropriate for the scope of your professional activities?
Was the educational content scientifically sound?
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

Discuss the medical model of addiction and craving, and why it is truly, cunning, baffling, and powerful.

Explain the neurophysiology behind how social support groups work. 

Explain how equine therapy can be used in the treatment field.

What specifically 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?
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:
Mr question