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:

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

Comments:

Objective 1: Describe how the spiritual 12 Step program leads one toward spiritual transformation

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

Objective 2: Learn specific spiritual interventions relevant to the treatment of addictive disorders

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

Objective 3: Discuss the use of spiritual tools and their application to the recovery process

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

Objective 4: Gain an understanding of the 12 Steps and how each of the steps work both individually and together to lead one toward spiritual transformation

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

Please answer the following:

Was the educational content scientifically sound?

If you answered 'No' to the above question, 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):

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

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

Additional comments: