Continuing Professional Education




	List of Independent Study Programs Clinicians Research Digest Article and Exam Series The Office of Continuing Education in Psychology

	For Approved Sponsors CE Calendar

SAMPLE #1

Topic Title: _________________________________________________________
Participant's Name (optional): _______________________________________

EVALUATION TOOL

We appreciate your help in evaluating this program. Please indicate your rating of the presentation in the categories below by circling the appropriate number, using a scale of 1 (low) through 5 (high). Please fill out both sides of this form:

OBJECTIVES
This program met the stated objectives of:

1. Identify three types of neurological complications often found after
traumatic brain injury.
2. Identify three types of other traumatic complications often found after
traumatic brain injury.
3. List two types of medications to be avoided after traumatic brain injury.

SPEAKERS (generally)

1. Knowledgeable in content areas

2. Content consistent with objectives

3. Clarified content in response to questions

CONTENT

1. Appropriate for intended audience

2. Consistent with stated objectives

TEACHING METHODS

1. Visual aids, handouts, and oral presentations clarified content

2. Teaching methods were appropriate for subject matter

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

FACULTY	Knowledgeable in Content area	Content consistent with objectives	Clarified content in reponse to questions
Dr. Smith	1 2 3 4 5	1 2 3 4 5	1 2 3 4 5

COMMENTS:

RELEVANCY

1. Information could be applied to practice

2. Information could contribute to achieving
personal, professional goals

1 2 3 4 5

1 2 3 4 5

FACILITY

1. Was adequate and appropriate for session

2. Was comfortable and provided adequate
space

1 2 3 4 5

1 2 3 4 5

This program enhanced my professional expertise.	____ Substantially	____ Somewhat	____ Not at all
I would recommend this program to others.	____ Yes	____ No	____ Not sure

COMMENTS/PROGRAM IMPROVEMENTS:

I would like (name of APA-approved sponsor) to provide seminars or workshops on the following topics:

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
IN GENERAL

Do you prefer:    ____half-day seminars    ____full-day seminars    ___multi-day seminars

Do you prefer seminars in:    ____hotels    ____hospital    ____no preference

How much time do you need to respond to a program announcement?
____less than 1 month    ____4 to 6 weeks    ____more than 6 weeks

How did you learn about this program?
____brochure    ____supervisor    ____colleague    ____other

How far did you travel to attend this program?
____0-25 miles    ____25-50 miles    ____50-100 miles    ____over 100 miles

If you would like to comment in person, please feel free to call the Office of Education.

THANK YOU

© 2008 American Psychological Association
Continuing Education in Psychology
750 First Street, NE • Washington, DC • 20002-4242
Phone:800-374-2721 ext. 5991 • TDD/TTY: 202-336-6123
Fax: 202-336-6151 • Email
PsychNET® | Terms of Use | Privacy Policy | Security | Advertise with us