20. Program brochure was informative and accurate 1 2 3 4 5 Does Strongly Disagree Not Agree Strongly Learning Disagree Apply Agree 21. Information could be applied to my practice (if 1 2 3 4 5 applicable) 22. Information could contribute to achieving personal or professional goals. 1 2 3 4 5 23. Cultural, racial, ethnic, socioeconomic, and gender differences were considered. 1 2 3 4 5 24. How much did you learn in this course? A Very Little Some Good A Great Little Bit Deal 25. Did this program enhance your professional expertise? Yes No 26. Would you recommend this program to others? Yes No Participant Information 27. Please note your profession and Psychologist Medical Masters Level Social Student □ □ □ □ □ Professional Licensed Worker status Therapist (Check all that apply) University Other: __________ □ □ □ Administrator Faculty list profession 28. Please note years in your profession Student 1-5 6-10 11-20 20+ □ □ □ □ □ Narrative 29. What was your overall impression of the activity? What went well? What could have been improved? 30. What did you learn that was new or different? How and/or will this information change how you practice? 31. What topics or presenters would you like to see at future CE presentations? 32. Other comments Please use another sheet of paper if you wish to expand on your observations
20. Program brochure was informative and accurate 1 2 3 4 5 Learning Strongly Disagree Disagree Does Not Apply Agree Strongly Agree 21. Information could be applied to my practice (if applicable) 1 2 3 4 5 22. Information could contribute to achieving personal or professional goals. 1 2 3 4 5 23. Cultural, racial, ethnic, socioeconomic, and gender differences were considered. 1 2 3 4 5 24. How much did you learn in this course? Very Little Little Some A Good Bit A Great Deal 25. Did this program enhance your professional expertise? Yes No 26. Would you recommend this program to others? Yes No Participant Information 27. Please note your profession and status (Check all that apply) □ Psychologist □ Medical Professional □ Masters Level Licensed Therapist □ Social Worker □ Student □ Administrator □ University Faculty □ Other: __________ list profession 28. Please note years in your profession □ Student □ 1-5 □ 6-10 □ 11-20 □ 20+ Narrative 29. What was your overall impression of the activity? What went well? What could have been improved? 30. What did you learn that was new or different? How and/or will this information change how you practice? 31. What topics or presenters would you like to see at future CE presentations? 32. Other comments Please use another sheet of paper if you wish to expand on your observations
sepi2018_CE_eval-form-sampl.docx