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

By completing this activity my professional competence  has increased because I acquired new strategies used in my practice.

If you answered yes to the above question, please explain:

 By completing this activity my professional performance  has improved because I was able to implement the new strategies.

If you answered yes to the above question, please explain:

By completing this activity my patient outcomes  has improved due to the implementation of newly-learned strategies.

If you answered yes to the above question, please explain:

I was able to transfer information from this activity into my practice or professional activities.

An example of information I was able to transfer from this activity is:

I was unable to transfer information from this activity due to the following barriers:

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

My professional performance (implementation of strategies) would be improved if I had training on:

My patient/client outcomes (the result of implemented strategies) would be improved if I had training on:

I get more out of the following types of learning (check all that apply):

What is your profession?

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

Provide your comments and suggestions to further improve your competence, performance and/or your patient/client outcomes in future activities: