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The Clinic: CEU Feedback
Thank you so much for learning with us at The Clinic. We hope this offered space to renew your imagination for what’s possible in the in between! We want this to be a helpful and your feedback will help us hone this offering. 

If you opted into receiving CEUs for this offering:
  • Completing this questionnaire is required to receive 1.5 continuing education units. 
  • Shelterwood members — when your questionnaire is received your hours will be tracked and certificates for hours completed during our 2024-25 learning canopy will be issued by June 30, 2025.
  • Non-member — when your questionnaire is received you'll receive a certificate via email.
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Your Name *
(First & Last)
Your Email *
What was the date of your workshop?  *
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DD
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Do facilitated your workshop? *
Required

To what extent did the workshop…

Please score the statements below using this 5-point scale. 5 being "strong affirm", 1 being "strong disagree."
Offer a specific, clearly defined knowledge of the modality. 
Clear selection
Offer perspectives to integrate into your work.
 *
Make valuable use of audio/visual aids and resources.
 *
Respond to the group’s needs and questions.
 *
Use dynamic teaching methods and relevant vignettes.
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Nurture your vitality as a human-practitioner.
 *
In a few words what was most impactful about The Clinic?
 *
What was one helpful takeaway for you/your practice? *
From your perspective, how can we improve The Clinic? *
What would you like to learn in the next session of The Clinic? 
 *
Do you have any lingering questions? *
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