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SDBP 2009 Hypnosis Workshop
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What activities did you attend at the event?
Agreement
By completing this form, you attest that you have participated in all selected activities in thier entirety.
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:
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 speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
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:
Having completed the activity, please rate your ability to meet each of the following objectives and how they will affect you and your practice:

Objective 1:  Describe 2-3 techniques of hypnotic induction in children

Meeting Objective 1 will increase my professional competence.
Meeting Objective 1 will result in changes to performance in my professional practice.
Meeting Objective 1 will result in improved patient outcomes.

Objective 2:  Utilize one or more self-hypnosis techniques

Meeting Objective 2 will increase my professional competence.
Meeting Objective 2 will result in changes to performance in my professional practice.
Meeting Objective 2 will result in improved patient outcomes.

Objective 3:  Discuss the range of applications of hypnotherapeutic strategies in pediatrics

Meeting Objective 3 will increase my professional competence.
Meeting Objective 3 will result in changes to performance in my professional practice.
Meeting Objective 3 will result in improved patient outcomes.

Objective 1:  Review hypnotherapeutic techniques used for anxiety, pain, and at least one other clinical application of hypnosis

Meeting Objective 1 will increase my professional competence.
Meeting Objective 1 will result in changes to performance in my professional practice.
Meeting Objective 1 will result in improved patient outcomes.

Objective 2:  Refine hypnotherapeutic skills

Meeting Objective 2 will increase my professional competence.
Meeting Objective 2 will result in changes to performance in my professional practice.
Meeting Objective 2 will result in improved patient outcomes.

Objective 3:  Describe at least one approach to managing resistance or treatment failure

Meeting Objective 3 will increase my professional competence.
Meeting Objective 3 will result in changes to performance in my professional practice.
Meeting Objective 3 will result in improved patient outcomes.

Objective 1:  Compare hypnotherapeutic approaches through case discussion

Meeting Objective 1 will increase my professional competence.
Meeting Objective 1 will result in changes to performance in my professional practice.
Meeting Objective 1 will result in improved patient outcomes.

Objective 2:  Critique hypnotherapeutic skills through review and supervised rehearsal skill building

Meeting Objective 2 will increase my professional competence.
Meeting Objective 2 will result in changes to performance in my professional practice.
Meeting Objective 2 will result in improved patient outcomes.

Objective 3:  Choose from a repertoire of therapeutic techniques to manage resistance and treatment failure

Meeting Objective 3 will increase my professional competence.
Meeting Objective 3 will result in changes to performance in my professional practice.
Meeting Objective 3 will result in improved patient outcomes.
Please answer the following:

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

Was the educational content scientifically sound?
Was the educational content free of commercial bias?
Was the mode of education effective to learning?
If faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?
If you answered "No" to any of the above questions, please explain.
Were you solicited by sales personnel in an educational room while you attended this educational activity?
If you answered "Yes" to the above question, please explain.
How much did you learn as a result of this educational program?
What did you learn during this activity that you intend to integrate into your practice?

What barriers might you have that would interfere with implementation of new information learned from this training?

How can this training be improved to better impact competence, performance and/or patient outcomes?

Are you interested in basic, intermediate or advanced level trainings?

My professional competence would be improved if I had training on:

My professional performance would be improved if I had training on:

My patient outcomes would be improved if I had training on:

Would you attend this meeting again? If not, why?
Would you recommend this meeting to others in the field of pediatrics?
How did you hear about the Workshop? (Mark all that apply)
What is your specialty?
Are you a Trainee?
What is your affiliation?

Additional comments:

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