FOU - April Professional Weekend
How would you like your name to appear on your certificate?
Profession
Select Your Profession
Psychologist
Professional Counselor
Marriage and Family Therapist
Other
Social Worker
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What activities did you attend at the event?
Saturday, April 16 - 9:00AM - 11:00AM
-- Select an Activity --
Integrating Music Therapy Into a Comprehensive Treatment Program
Saturday, April 16 - 1:45PM - 3:45PM
-- Select an Activity --
Addiction & Co Occurring Disordered
Sunday, April 17 - 8:00AM - 10:00AM
-- Select an Activity --
Back to the Bottom Line...Awakening
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Agreement
By completing this form, you attest that you have participated in all selected activities in thier entirety.
I agree
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Please rate the following:
How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?
Excellent
Very Good
Good
Fair
Poor
Comments:
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
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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:
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:
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:
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Having completed the activity, please rate your ability to meet each of the following objectives:
Understand ASAM's Definition of Addiction
Strongly Agree
Agree
Somewhat Agree
Neutral
Somewhat Disagree
Disagree
Strongly Disagree
Discuss JACHO Policy that has led to the current Opioid Epidemic
Strongly Agree
Agree
Somewhat Agree
Neutral
Somewhat Disagree
Disagree
Strongly Disagree
Understand the current trend away from Abstinence-Based treatment and toward "Harm Reduction"
Strongly Agree
Agree
Somewhat Agree
Neutral
Somewhat Disagree
Disagree
Strongly Disagree
Define Music Therapy
Strongly Agree
Agree
Somewhat Agree
Neutral
Somewhat Disagree
Disagree
Strongly Disagree
Identify how Music Therapy benefit individuals with dual diagnoses
Strongly Agree
Agree
Somewhat Agree
Neutral
Somewhat Disagree
Disagree
Strongly Disagree
View the complexitites of working in treatment while exploring opportunities to help staff reclaim their meaning and purpose
Strongly Agree
Agree
Somewhat Agree
Neutral
Somewhat Disagree
Disagree
Strongly Disagree
Explain how to help each member of the staff to connect to their own professional journey
Strongly Agree
Agree
Somewhat Agree
Neutral
Somewhat Disagree
Disagree
Strongly Disagree
Review case examples to understand opportunities for improvement within their won facilities
Strongly Agree
Agree
Somewhat Agree
Neutral
Somewhat Disagree
Disagree
Strongly Disagree
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Please answer the following:
Was the educational content scientifically sound?
Yes
No
NA
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?
Yes
No
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?
Yes
No
If you answered 'Yes' to the above question, please explain in detail (e.g. who, when, where):
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What questions have arisen in your practice for which you need answers/strategies that you can implement?
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How could
this
training (the overall meeting) be improved to better impact competence, performance and/or patient/client outcomes?
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Additional comments:
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