CE Attendance & Evaluation Survey
Thank you for attending a continuing education (CE) event provided by OPHA! Completing this form after participating in an OPHA CE event serves several purposes. 
  1. It allows OPHA to track CE events attended.
  2. It allows OPHA to collect and evaluate an individual's event engagement for the purposes of reporting  continuing education (CE) units/contact hours to respective credentialing agencies (NCHEC, NBPHE, Social Worker, etc.).
  3. It allows OPHA to provide you CE certificates and certificates of attendance and evaluation quarterly.
Please note:
  • All efforts are made to properly assign certificates of attendance and evaluation. When you complete this form in its entirety, we can then best document your participation.
  • Credentialing agencies themselves deem CE eligibility and issuance of CE's. We strive to meet their standards and competencies.
  • Attendance at an OPHA CE event does not guarantee CE credit. CE-seeking attendees must complete this survey so we may ensure attendance and demonstrated learning.
  • You may find further information and instructions here.
Sign in to Google to save your progress. Learn more
Email *
Your name (first and last) *
What type of continuing education and/or certificate of attendance and evaluation are you seeking? *
What is your certification ID number, if applicable? (CHES/MCHES, CPH, RPS, etc.) If not applicable, please type N/A.
What organization or agency do you work for or represent? Students or early career professionals can also identify as such. *
Name the title of the event you are seeking continuing education (CE) credits/units for. Please provide information to assist us in matching the event if you can not recall the specific name.

Date of continuing education (CE) event *
Describe how the continuing education (CE) event applies to your current occupation/professional role. *
Please describe two take-aways from this continuing education (CE) event that you did not know prior to attending. *
Please explain two take-aways from this continuing education (CE) event that reinforced your current knowledge or supported current practices in your field.
Please explain two ways you plan to implement what you learned during the continuing education (CE) event in your professional life. 
For this final section, we ask that you rate the conference (using the provided Likert Scale). This provides CE planners feedback on your experiences. This section does not impact your attendance and learning evaluation.
The Likert Scale: 1 indicates no agreement, a 5 indicates strong agreement with the statement provided.
The continuing education (CE) event learning objectives were relevant and met my needs.
Strongly disagree
Strongly Agree
The length of the continuing education (CE) event was adequate for learning.
Strongly disagree
Strongly agree
The length of the continuing education (CE) event was adequate for professional networking.
Strongly disagree
Strongly agree
Overall, the speakers were knowledgeable experts in their field
Strongly disagree
Strongly agree
What other feedback can you provide for event planners? Your answer provide another lens for OPHA to evaluate how we are meeting our objectives as well as our guest's needs (or falling short). Answers can be related to content, scheduling of events, etc. 
Are you an OPHA member? *
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This form was created inside of NSU. Report Abuse