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Suicide Assessment & Risk Management
Course evaluation form: Department of Psychology, Florida State University
Presented to clinicians of the Mental Health Risk Retention Group
Presenter:
Thomas Joiner, PhD
Date/Time:
Ongoing, recorded modular training
CE credits:
5 credits following completion of the 8 available modules
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Email
*
Your email
First and Last Name (must match name on Professional License)
Your answer
Professional License State, Type, and Number
(Florida, Psychologist, FLPY 1234)
Your answer
Using the scale below, please rate your level of agreement with each statement
Program Objective 1 was met:
This program will provide a broad overview of information about suicide facts and myths, the Interpersonal Theory of Suicide, and clinical tools for managing suicide risk.
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
Program Objective 2 was met:
This program will provide participants with information necessary for suicide risk safety planning, general means safety, and management of several highly lethal means.
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
Program Objective 3 was met:
The program will describe additional methods for targeting risk factors, including addressing insomnia and enlisting the assistance of caring contacts.
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
The method of presentation was effective and appropriate to the course content and objectives.
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
Content and instruction were appropriate for postdoctoral level training.
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
The amount of material presented was appropriate to the allotted time.
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
The presenter had an expert level of knowledge and expertise in the subject matter.
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
The material was presented in an organized manner.
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
How much did you learn as a result of this program?
Very Little
1
2
3
4
5
A Great Deal
Clear selection
Did this program enhance your professional expertise?
Yes
No
Clear selection
Would you recommend this program to others?
Yes
No
Clear selection
Comments:
Your answer
Please provide the date of completion of
Module 1
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/
DD
/
YYYY
Please provide the date of completion of
Module 2
MM
/
DD
/
YYYY
Please provide the date of completion of
Module 3
MM
/
DD
/
YYYY
Please provide the date of completion of
Module 4
MM
/
DD
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YYYY
Please provide the date of completion of
Module 5
MM
/
DD
/
YYYY
Please provide the date of completion of
Module 6
MM
/
DD
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YYYY
Please provide the date of completion of
Module 7
MM
/
DD
/
YYYY
Please provide the date of completion of
Module 8
MM
/
DD
/
YYYY
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