Evaluation Form: Assessing and Treating Adult Firesetting


(OT226-A) Evaluation – Assessing and Treating Adult Firesetting
I certify that I am the above-named person completing this form and that the information I submit here is accurate.
1. How much did you learn as a result of this CE program? 5 = Very much, 1 = Very little
2. Rate the quality of the program content 5 = Very High, 1 = Very Low
3. Rate how current/relevant the program content is 5 = Very High, 1 = Very Low
4. How useful was the content of this CE program for your practice or other professional development? 5 = Extremely Useful, 1 = Not Useful at all
5. Rate the instructor’s knowledge and expertise of the subject. 5 = Very High, 1 = Very Low
6. Rate the instructor’s teaching ability. 5 = Very High, 1 = Very Low
7.1. Would you agree that learning objective #1 was met?
Learning Objective #1: “Describe the demographic and diagnostic characteristics most commonly seen among firesetting adults.” 5 = Strongly agree, 1 = Strongly disagree
7.2. Would you agree that learning objective #2 was met?
Learning Objective #2: “Explain the components of the Multi-Trajectory Theory of Adult Firesetting (MTTAF).” 5 = Strongly agree, 1 = Strongly disagree
7.3. Would you agree that learning objective #3 was met?
Learning Objective #3: “Describe the four primary risk factors associated with firesetting.” 5 = Strongly agree, 1 = Strongly disagree
7.4. Would you agree that learning objective #4 was met?
Learning Objective #4: “Apply firesetting-specific measures in assessment practice.” 5 = Strongly agree, 1 = Strongly disagree
7.5. Would you agree that learning objective #5 was met?
Learning Objective #5: “Use the treatment elements included in FIP-MO and FIPP treatment models.” 5 = Strongly agree, 1 = Strongly disagree
8. Rate how well the program met your expectations (according to the promotional materials) 5 = Very well, 1 = Not well at all
9. Rate the quality of the provided course materials 5 = Very High, 1 = Very Low
10. Rate the quality of the facilities (in-person) or technology (online). 5 = Very High, 1 = Very Low
11. Rate how well disability accommodations were met, if requested. 5 = Very High, 1 = Very Low
12. Rate the ease of the registration process 5 = Very Easy, 1 = Very Difficult
13. Rate the instructor’s responsiveness to questions 5 = Very High, 1 = Very Low
14. Rate the program staff’s responsiveness to questions 5 = Very High, 1 = Very Low