Session Evaluation
Longing to Belong: Exploring Barriers to Connection and Closeness
In reviewing the stated goals of this event, and in considering the nature of what you learned, please respond to each of the following statements by selecting the option that best reflects your opinion.
Questions 1-20
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
01: This session was relevant to the overall Annual Meeting objectives.
02: This session’s content matched the session’s objectives.
03: The leader made the group contract clear.
04: Overall, the group felt safe and conducive to learning.
05: My understanding of group process and dynamics increased or existing knowledge was better integrated.
06: The didactic material and the experiential component were well integrated.
07: The extent of each of the objectives stated by the instructor at the beginning of this event have been met.
08: The format for this presentation was effective.
09: The material presented was appropriate to my education, experience and/or licensure level.
10: The material presented was relevant to my practice.
11: The knowledge I gained from this event will add to my clinical practice/professional work.
12: My understanding of the subject matter increased as a result of this event.
13: In this event, I gained new knowledge and/or integrated existing knowledge.
14: Group members/Audience interaction enhanced the session.
15: The syllabus materials and/or reading list were valuable.
16: The level of the material was appropriate.
17: The material presented was current.
18: The material presented the content effectively.
19: The handouts/teaching aids enhanced the content of this event.
20: I would recommend this event to colleagues.
Questions 21-24:
(Leave blank if question is not applicable)
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
21 Allan Sheps was knowledgeable about content and presented material clearly.
22 Allan Sheps was responsive to participants.
23 Allan Sheps was skillful and effective.
24 Allan Sheps was sensitive and responsive to issues of diversity.
21 Joan-Dianne Smith was knowledgeable about content and presented material clearly.
22 Joan-Dianne Smith was responsive to participants.
23 Joan-Dianne Smith was skillful and effective.
24 Joan-Dianne Smith was sensitive and responsive to issues of diversity.
25: To what extent have each of the objectives stated by the instructor at the beginning and end of this event been met:
(Leave blank if not applicable)
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Poor
Marginal
Adequate
Good
Excellent
Objective 1 List three examples of personal barriers that members might use to sabotage intimacy in groups.
Objective 2 Identify personal countertransference themes intensified by our current social milieu and explain how those responses might inhibit group intimacy.
Objective 3 Describe how group member fears can hold them back from reaching for connection in spite of their stated desire to do so
Objective 4 Identify the impact our polarized culture and social climate has on our relationships.
Objective 5 Describe the dynamics of difference and polarization and identify potential strategies to assist the group in working through these issues.
26: How much did you learn as a result of this CE Program?
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Very Little
Little
Some
A good bit
A great deal
I learned:
26a: Please specify what you learned.
27: How useful was the content of this CE program for your practice or other professional development?
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Not useful
A little useful
Somewhat useful
A good deal useful
Extremely useful
The content was:
28: Was the educational content scientifically sound?
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Yes
No
28a: You selected "No". Please explain.
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29: Did you perceive any commercial bias or influence in the educational content?
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Yes
No
29a: You selected "Yes". Please explain.
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30: List any outstanding features:
31: List any aspects that need improvement:
32: COMMENTS (We welcome specific suggestions to improve the event, including format, particularly if you rated any item less than three.)
33: Did you leave this session early?
Yes
No
33a: Indicate why you left early in the space below.
(NOTE: Continuing education credit is not awarded for partial attendance.)
34: Professional/Discipline (Check all that apply)
Psychiatrist
Psychologist
Social Worker
Nurse
Drug & Alcohol Abuse Counselor
Creative Arts Therapist
Marriage & Family Therapist
Clinical Mental Health Counselor
Pastoral Counselor
Other
You selected Other profession. Please specify:
35: Degree(s) (check all that apply):
Ph.D.
M.D.
M.S.W.
Ed.D.
M.A.
M.S.S.
R.N.
Psy.D.
M.S.N.
D.Min.
M.Div.
Other
You selected Other degree. Please specify:
