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Evaluation for "Checking Out?"
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Name
*Required for CEU credit, however presenters will only receive aggregate data
Your answer
License type and number
*Required for CEU credit, however presenters will only receive aggregate data
Your answer
Address, City, Zip
* Required for CEU credit
Your answer
Email address
If you complete this evaluation outside of the workshop, your ceu certificate will be sent to this address
Your answer
Would you like to receive email reminders to complete the tasks suggested in the workshop in the upcoming months?
If you answer "Yes" reminders will be sent to the email address above
Yes, please!
No, thank you.
Clear selection
How would you rate this workshop overall?
Excellent
Very Good
Average
Poor
Clear selection
Were the goals of this workshop met?
Excellent
Very Good
Average
Poor
Clear selection
Was Gail Rubin knowledgeable and comfortable with subject matter?
Excellent
Very Good
Good
Fair
Poor
Clear selection
Was Gail Rubin well organized?
Excellent
Very Good
Good
Fair
Poor
Clear selection
Did Gail Rubin keep the program alive and interesting?
Excellent
Very Good
Good
Fair
Poor
Clear selection
Was Gail Rubin responsive to participants?
Excellent
Very Good
Good
Fair
Poor
Clear selection
Was Emily Driver Moore knowledgeable and comfortable with subject matter?
Excellent
Very Good
Good
Fair
Poor
Clear selection
Was Emily Driver Moore well organized?
Excellent
Very Good
Good
Fair
Poor
Clear selection
Did Emily Driver Moore keep the program alive and interesting?
Excellent
Very Good
Good
Fair
Poor
Clear selection
Was Emily Driver Moore responsive to participants?
Excellent
Very Good
Good
Fair
Poor
Clear selection
The highlight of the workshop for me was...
Your answer
If I could change one thing it would be...
Your answer
What is your overall impression of the facilities and the location?
Your answer
Suggestions for future continuing education topics:
Your answer
I would be interested in learning more about...
Your answer
I found out about this program through
SWBHIPA
NM Helpers
Email
Flyer
Other:
Clear selection
I registered by
Online form
Mailed Paper form
Onsite
Other:
Clear selection
Registration process was
Clear and easy
Confusing, but I did it
Diffficult
Other:
Clear selection
If this program was offered again, these people should know about this...
Your answer
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