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COURSE EVALUATION
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Name
Email
Date
Complete title of book/journal/audio course/video course
Full name of author(s), including degree(s)
Length of Course
Select
140-174
175-209
210-244
245-279
280-314
315-349
350-384
385-419
420-454
455-489
490-524
525+
Number of CEU credits you earned.
What are the course goals/learning objectives?
How is this course relevant to your practice?
How does this course enhance your skills and success with your clients?
How well did this course:
a) Have relevance to your scope of practice?
Greatly
Somewhat
Very Little
None
b) Meet your goals?
Greatly
Somewhat
Very Little
None
c) Improve your knowledge of the topic?
Greatly
Somewhat
Very Little
None
d) Improve your ability to help your clients?
Greatly
Somewhat
Very Little
None
e) Improve your success with your clients?
Greatly
Somewhat
Very Little
None
I certify that I have, within the last 24 months, read, listened to or viewed the entire course I am claiming credit for and have completed this form honestly and accurately myself.
I Agree
Disagree
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