CPI Participant Survey 16/17
By participating in this survey you will receive your certificate of participation. Thank you.
Your First and Last Name
Your answer
Your Email
Your answer
Session Date
MM
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DD
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YYYY
Training Title
Presenter
Required
Participation Hours
Program Objectives
As a result of completing this program, I believe that I have learned to:
Strongly disagree
Disagree
Neither agree or disagree
Agree
Strongly agree
Use nonverbal techniques to prevent risk behavior
Implement deceleration strategies, such as limit setting.
Make use of Nonviolent Crisis Intervention physical intervention principles to avoid injury to all involved in a crisis situation.
Use safe physical intervention procedures as a last resort when a person is a danger to self or others.
Build Therapeutic Rapport with aggressive individuals after a crisis.
Instructor:
During the program, the Instructor:
Strongly disagree
Disagree
Neither agree or disagree
Agree
Strongly agree
Applied the course content to a variety of examples.
Stimulated interest in the subject matter.
Created an enjoyable learning atmosphere.
Emphasized the philosophy of Care, Welfare, Safety and Security.
Content:
Strongly disagree
Disagree
Neither agree or disagree
Agree
Strongly agree
The program content was relevant to my needs.
How would you rate the program overall?
Lowest
Highest
As a result of this program, I
Your answer
Additional comments on the program, teaching methods, course materials, and/or the Instructor:
Your answer
Thank you For Your Feedback!!
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