Stigma Reduction Discussion Panel

Please enter your name, license number and department information for CEU credit. Names must match what is consistent with the board of nursing.

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* 1. Your Name (for CE credit)

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* 2. RN LIcense Number (Skip is not RN)

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* 3. Department/Unit

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* 4. Please answer the following questions

	Not at all	Slightly	Somewhat	For the most part	Very much so
The information in this activity will help me do my job?	The information in this activity will help me do my job? Not at all	The information in this activity will help me do my job? Slightly	The information in this activity will help me do my job? Somewhat	The information in this activity will help me do my job? For the most part	The information in this activity will help me do my job? Very much so
This course met my objectives?	This course met my objectives? Not at all	This course met my objectives? Slightly	This course met my objectives? Somewhat	This course met my objectives? For the most part	This course met my objectives? Very much so
I was able to learn in this environment?	I was able to learn in this environment? Not at all	I was able to learn in this environment? Slightly	I was able to learn in this environment? Somewhat	I was able to learn in this environment? For the most part	I was able to learn in this environment? Very much so
The teaching aids were effective?	The teaching aids were effective? Not at all	The teaching aids were effective? Slightly	The teaching aids were effective? Somewhat	The teaching aids were effective? For the most part	The teaching aids were effective? Very much so

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* 5. The objectives were met

	Not at all	Slightly	Somewhat	For the most part	Very much so
Name at least 2 stigmatizing beliefs about mental illness.	Name at least 2 stigmatizing beliefs about mental illness. Not at all	Name at least 2 stigmatizing beliefs about mental illness. Slightly	Name at least 2 stigmatizing beliefs about mental illness. Somewhat	Name at least 2 stigmatizing beliefs about mental illness. For the most part	Name at least 2 stigmatizing beliefs about mental illness. Very much so
Discuss at least 2 impacts stigma has on people living with mental illness.	Discuss at least 2 impacts stigma has on people living with mental illness. Not at all	Discuss at least 2 impacts stigma has on people living with mental illness. Slightly	Discuss at least 2 impacts stigma has on people living with mental illness. Somewhat	Discuss at least 2 impacts stigma has on people living with mental illness. For the most part	Discuss at least 2 impacts stigma has on people living with mental illness. Very much so
Identify at least 2 ways to challenge stigma.	Identify at least 2 ways to challenge stigma. Not at all	Identify at least 2 ways to challenge stigma. Slightly	Identify at least 2 ways to challenge stigma. Somewhat	Identify at least 2 ways to challenge stigma. For the most part	Identify at least 2 ways to challenge stigma. Very much so

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* 6. The speaker was knowledgeable about the subject.

	Not at all	Slightly	Somewhat	For the Most Part	Very Much So
Elizabeth Caine	Elizabeth Caine Not at all	Elizabeth Caine Slightly	Elizabeth Caine Somewhat	Elizabeth Caine For the Most Part	Elizabeth Caine Very Much So
Dr. Macaluso	Dr. Macaluso Not at all	Dr. Macaluso Slightly	Dr. Macaluso Somewhat	Dr. Macaluso For the Most Part	Dr. Macaluso Very Much So
Dr. Li	Dr. Li Not at all	Dr. Li Slightly	Dr. Li Somewhat	Dr. Li For the Most Part	Dr. Li Very Much So
Dr. Thomas	Dr. Thomas Not at all	Dr. Thomas Slightly	Dr. Thomas Somewhat	Dr. Thomas For the Most Part	Dr. Thomas Very Much So
Mike Martin	Mike Martin Not at all	Mike Martin Slightly	Mike Martin Somewhat	Mike Martin For the Most Part	Mike Martin Very Much So
Dr. Kraguljac	Dr. Kraguljac Not at all	Dr. Kraguljac Slightly	Dr. Kraguljac Somewhat	Dr. Kraguljac For the Most Part	Dr. Kraguljac Very Much So

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* 7. Knowledge of topic before activity

Not at all

Slightly

Somewhat

For the most part

Very much so

Not at all

Slightly

Somewhat

For the most part

Very much so

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* 8. Knowledge of topic after activity

Not at all

Slightly

Somewhat

For the most part

Very much so

Not at all

Slightly

Somewhat

For the most part

Very much so

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* 9. Did the activity coordinator communicate criteria for successful completion of the activity

Yes

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* 10. Activity was free of commercial bias

Yes

Somewhat

Stigma Reduction Discussion Panel

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* 1. Your Name (for CE credit)

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* 2. RN LIcense Number (Skip is not RN)

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* 3. Department/Unit

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* 4. Please answer the following questions

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* 5. The objectives were met

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* 6. The speaker was knowledgeable about the subject.

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* 7. Knowledge of topic before activity

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* 8. Knowledge of topic after activity

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* 9. Did the activity coordinator communicate criteria for successful completion of the activity

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* 10. Activity was free of commercial bias

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* 11. List suggestions for improving the activity

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* 12. What topic or experiences would help you gain new knowledge and/or develop new skills

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* 13. Comments