Qualified Supervisor Continuing Education Update 02/03/24 (Cecil-Van Den Heuvel) Survey

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* 1. Demographic Information

Full Name

License # (e.g. MH000, Registered Intern Number, or note if you are a student)

Phone Number

Email Address

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* 2. Please rate each item using the following 5-point Likert scale:

	1 - Poor	2 - Fair	3 - Average	4 - Above Average	5 - Superior
Speaker's presentation style and ability to maintain interest	Speaker's presentation style and ability to maintain interest 1 - Poor	Speaker's presentation style and ability to maintain interest 2 - Fair	Speaker's presentation style and ability to maintain interest 3 - Average	Speaker's presentation style and ability to maintain interest 4 - Above Average	Speaker's presentation style and ability to maintain interest 5 - Superior
Speaker’s knowledge and expertise of the subject	Speaker’s knowledge and expertise of the subject 1 - Poor	Speaker’s knowledge and expertise of the subject 2 - Fair	Speaker’s knowledge and expertise of the subject 3 - Average	Speaker’s knowledge and expertise of the subject 4 - Above Average	Speaker’s knowledge and expertise of the subject 5 - Superior
Program topic and objectives were clearly stated and met	Program topic and objectives were clearly stated and met 1 - Poor	Program topic and objectives were clearly stated and met 2 - Fair	Program topic and objectives were clearly stated and met 3 - Average	Program topic and objectives were clearly stated and met 4 - Above Average	Program topic and objectives were clearly stated and met 5 - Superior
Program content and structure met stated expectations	Program content and structure met stated expectations 1 - Poor	Program content and structure met stated expectations 2 - Fair	Program content and structure met stated expectations 3 - Average	Program content and structure met stated expectations 4 - Above Average	Program content and structure met stated expectations 5 - Superior
Usefulness of material to my professional practice	Usefulness of material to my professional practice 1 - Poor	Usefulness of material to my professional practice 2 - Fair	Usefulness of material to my professional practice 3 - Average	Usefulness of material to my professional practice 4 - Above Average	Usefulness of material to my professional practice 5 - Superior
Opportunity for interaction and exercises in this training	Opportunity for interaction and exercises in this training 1 - Poor	Opportunity for interaction and exercises in this training 2 - Fair	Opportunity for interaction and exercises in this training 3 - Average	Opportunity for interaction and exercises in this training 4 - Above Average	Opportunity for interaction and exercises in this training 5 - Superior
Quality of supplied course materials I received	Quality of supplied course materials I received 1 - Poor	Quality of supplied course materials I received 2 - Fair	Quality of supplied course materials I received 3 - Average	Quality of supplied course materials I received 4 - Above Average	Quality of supplied course materials I received 5 - Superior
Length of presentation and use of time was effectively managed	Length of presentation and use of time was effectively managed 1 - Poor	Length of presentation and use of time was effectively managed 2 - Fair	Length of presentation and use of time was effectively managed 3 - Average	Length of presentation and use of time was effectively managed 4 - Above Average	Length of presentation and use of time was effectively managed 5 - Superior
Impression of the overall value of the training session	Impression of the overall value of the training session 1 - Poor	Impression of the overall value of the training session 2 - Fair	Impression of the overall value of the training session 3 - Average	Impression of the overall value of the training session 4 - Above Average	Impression of the overall value of the training session 5 - Superior
How well this training session integrated with the overall conference program?	How well this training session integrated with the overall conference program? 1 - Poor	How well this training session integrated with the overall conference program? 2 - Fair	How well this training session integrated with the overall conference program? 3 - Average	How well this training session integrated with the overall conference program? 4 - Above Average	How well this training session integrated with the overall conference program? 5 - Superior
Room and accommodations?	Room and accommodations? 1 - Poor	Room and accommodations? 2 - Fair	Room and accommodations? 3 - Average	Room and accommodations? 4 - Above Average	Room and accommodations? 5 - Superior

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* 3. What elements of the program were LEAST applicable to your job and/or professional development?

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* 4. What elements of the program were MOST applicable to your job and/or professional development?

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* 5. What topics would you like to see FMHCA offer in future FMHCA Annual Conferences/or Events?

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* 6. Additional comments or suggestions about the FMHCA Annual Conference.

Thank you for participating in the FMHCA 2024 FMHCA Annual Conference .
We look forward to seeing you next year!

Please remember that you must complete this evaluation at the end of the session in order to receive your clock hours.