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

Please rate your satisfaction with the content and quality of the program: 

Was the educational content scientifically sound?

If no, please explain...

Did you perceive any commercial bias or influence in the educational content?

If yes, what...

Did this program improve your competence or performance? 

If yes, how...

If no, please explain...

What did you learn that will help you in your practice?

Apply a step by step pragmatic structure to support couples in a transformative relational process

Recognize the difference in a couples exchange between the adaptive “survival dance” and the “dance of life in connection.”

Practice rituals and skills in becoming “bilingual” and learning the distinctive vocabulary of the “other.”

Utilize practical well delineated techniques for growing attention span, focus, concentration and presence to the “other.”

Describe the four theoretical pillars at the base of Encounter-centered Couples Therapy.

Recognize the difference in a couples exchange between the “dialogical domain” and the “domain of the encounter.”

Assess the climate in the “space between” as a way for the Couples Therapist to assist a couple in creating a safe haven rather than a war zone or a desert, and learn about the essential elements that nurture the “Relational Space” of couples.

The program was up-to-date and relevant to my professional practice 

Additional comments

Was the location suitable?

The facilities were conducive to learning

Instructor was knowledgeable about the content

Instructor presented the subject matter clearly

Instructor was responsive 

Instructor used technology, hand outs and other learning aids effectively

Additional questions about the instructor(s)

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

<strong><u>ONLY FLORIDA LICENSEES need to answer this question:</u> </strong>In order for us to report your hours to CE Broker, you MUST provide us with your Florida alpha-numeric license number (e.g., CDCA.XXXXXX, LICDCII.XXXXXX). Please be sure you enter this number accurately, or CE Broker will not record your hours.