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

Profession

What activities did you attend at the event?

Saturday, February 16 - 8:15 - 9:15

Saturday, February 16 - 9:15 - 10:15

Saturday, February 16 - 10:30 - 11:30

Saturday, February 16 - 11:30 - 12:30

Saturday, February 16 - 1:30 - 3:30

Saturday, February 16 - 3:45 - 4:45

Sunday, February 17 - 9:15 - 10:15

Agreement

By completing this form, you attest that you have participated in all selected activities in thier entirety.

I agree

Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.

Please rate the following:

The program was relevant to my work.

Content matched stated objectives.

Usefulness of handouts/AV.

Quality of facilities.

How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?

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, situtation):

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:

Having completed the activity, please rate your ability to meet each of the following objectives:

Identify the primary regions in the brain responsible for reducing or increasing vulnerability to relapse

Explain the way in which neurofeedback supports relapse prevention in the recovering population

Identify and provide a case study from their own clinical experience where neurofeedback may have prevented relapse or cross addiction if the client had received an adequate amount of neurofeedback

List 3 modalities used for trauma recovery

Summarize the differences between single incident trauma and developmental trauma

Explain why we use these newer modalities for trauma recovery

Clearly delineate the growth areas that will help facilitate recovery with eating disorders

Apply knowledge of Neurofeedback to the treatment of OCD with eating disorders

Describe how to incorporate NF into the treatment of eating disorders

List the regions of the brain that most significantly contribute to "treatment resistance"

Describe the mechanism by which neurofeedback decreases treatment resistance and supports a greater degree of engagement in early recovery as well as middle and long term stage recovery

Name the class of medication that interferes with the efficacy of neurofeedback and the singular learning disability that neurofeedback does not effectively treat

Demonstrate the importance of Neurofeedback in addiction treatment

Summarize the process of adding EEG Biofeedback to an existing treatment paradigm

Discuss the obstacles of such and undertaking and explain ways of bypassing roadblocks to success

Recognize and list three behaviors associated with the neurological warnings signs that a patient is preparing to leave treatment AMA

Identify the shift in alpha amplitude that occurs when an individual is becoming extremely uncomfortable in the treatment milieu

Describe a minimum of 3 effective strategies for supporting retention of clients in treatment who begin to desperately desire to leave treatment

List symptoms of attachment challenged children and children on the Autism Spectrum

Explain how neurofeedback works on parts of the brain that are commonly impacted by attachment trauma and Autism

Summarize expected outcomes of neurofeedback treatment for attachment challenged children and those with Autism

Please answer the following:

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

Was the educational content scientifically sound?

If faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?

Was the mode of education effective to learning?

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

Did you perceive any product/service/company/commercial bias in any educational session you attended or materials you received?

If you answered "Yes" to the above question, please detail the situation below (e.g. session title, speaker name):

Were you solicited by sales personnel in an educational room (other areas do not matter) while you attended this educational activity?

If you answered "Yes" to the above question, please explain in detail (e.g. who, when, where):

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

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

What questions have arisen in your practice for which you need answers/strategies that you can implement?

What patient/client problems or patient/client challenges do you feel you are not able to address appropriately or to your satisfaction?

What problems are your patients/clients communicating to you that need attention or follow up?

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 learned from this training?

How can this training (the overall meeting) be improved to better impact competence, performance and/or patient/client outcomes?

Additional comments: