AAC - Enduring LIC6: W-10 Behind the Curtain of Shame
How would you like your name to appear on your certificate?
Profession
Select Your Profession
Addictions & Substance Abuse Counselor
Counselor
Employee Assistance Professionals
Marriage and Family Therapist
Other
Psychologist
Social Worker
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How many credit hours did you complete?
Credit Hours (maximum: 1.5)
Agreement
By completing this form, you attest that you have attended the number of hours you have indicated above.
I agree
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Please rate your satisfaction with the content and quality of the program:
Very Satisfied
Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Dissatisfied
Very Dissatisfied
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Was the educational content scientifically sound?
Yes
No
If no, please explain...
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Did you perceive any commercial bias or influence in the educational content?
Yes
No
If yes, what...
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Did this program improve your competence or performance?
Yes
No
If yes, how...
If no, please explain...
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What did you learn that will help you in your practice?
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Were the following objectives met?
Objective 1: Explain who boundary issues occurr when practitioners relate to clients in more than one relationship, whether (1)professional, (2)social, or (3)business
Yes
No
Not sure
Were the following objectives met?
Objective 2: Define boundaries and relationships between client and therapist
Yes
No
Not sure
Were the following objectives met?
Objective 3: Distinguish between a boundary crossings: acceptable, perphaps inevitable or unavoidable, dual relationships and a boundary violations: unacceptable exploitation or conflicts of interest
Yes
No
Not sure
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The program was up-to-date and relevant to my professional practiceÂ
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
The technology was user friendly
Yes
No
The length of time to complete the course matches the number of CE credits awarded
Yes
No
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What questions are you having in your practice that you would like to see addressed in an educational activity?
Questions, concerns and accommodations were addressed efficiently and in a timely manner
Additional comments
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