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:

Please rate Betty Jackson as a presenter. You will have the opportunity to elaborate in the following question.

Please comment on Betty Jackson's teaching ability, expertise, organization of materials, etc. - please use the space below:

Please rate Kate Adams as a presenter. You will have the opportunity to elaborate in the following question.

Please comment on Kate Adams' teaching ability, expertise, organization of materials, etc. - please use the space below:

Please rate Ellen LeBel as a presenter. You will have the opportunity to elaborate in the following question.

Please comment on Ellen LeBel's teaching ability, expertise, organization of materials, etc. - please use the space below:

The program was relevant to my work.

Content matched stated objectives.

Usefulness of handouts/AV.

Quality of facilities.

If you rated any of the above questions with 'fair,' 'poor,' 'disagree,' or 'strongly disagree' please explain:

Please answer the following:

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

Was the mode of education effective to learning?

If you answered "No" to any of the above questions, please explain.

How much did you learn as a result of this educational program?

Having completed the activity, please rate how well are you able to meet each of the following objectives?

Distinguish between literal and symbolic communication

Describe at least three reasons why symbolic communication enhances therapeutic process

Identify at last three levels of meaning of a given symbol i.e., personal, familial, cultural, and archetypal

Analyze the evolving meaning of specific symbols in sequential Sandplay case material

What did you learn during this activity that you intend to integrate into your practice?

What do you "need" to learn (versus "want" to learn) that should be addressed in future meetings that will result in improved competence, performance and/or patient outcomes in your practice?

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

Basic

Intermediate

Advanced

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

How could this training be improved to impact your competence or performance in practice?

Additional comments: