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

This training gave me strategies I could use at my program (professional competence).

I was able to use the strategies from the training to improve my program's operation.

My program's outcomes improved due to the implementation of the strategies I acquired at the training.

I was able to transfer information from this training to my program.

An example of information I was able to transfer to my program from this training is:

I was unable to transfer information from this training to my program due to the following barriers:

My professional competence (available strategies) would be improved if I had training on:

My program's operation (implementation of strategies) would be improved if I had training on:

My program's outcomes (as a result of implemented strategies) would be improved if I had training on:

What is your profession:

If you answered "Other" as your profession, please specify:

For planning of future meetings, please provide your comments and suggestions to further improve your competence, performance and/or overall improvement at your program.