1. Please mark all of the following entities that you represent: *
Social Worker
Psychologist
Nursing
Marriage and Family Therapist
Licensed Professional Counselor
Other



2. If other please specify:



3. Overall Quality *
1 2 3 4 5


4. Organization and Clarity of Presentation *
1 2 3 4 5


5. Usefulness of Information *
1 2 3 4 5


6. Relevance of Topic *
1 2 3 4 5


7. Adequate Opportunity to Participate *
1 2 3 4 5


8. Usefulness of Handouts / Support Materials / PowerPoint Slides *
1 2 3 4 5 N/A


9. Accomplished Objective 1 (See Above)
1 2 3 4 5


10. Accomplished Objective 2 (See Above)
1 2 3 4 5


11. Accomplished Objective 3 (See Above)
1 2 3 4 5


12. Additional Comments: