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 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 current/relevant, 1 = Not current/not relevant at all *

4. How useful was the content of this 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. Rate how well the program met your expectations (according to the promotional materials) 5 = Very well, 1 = Not well at all *

8. Rate the quality of the provided course materials 5 = Very High, 1 = Very Low *

9. Rate how well disability accommodations were met, if requested 5 = Very well, 1 = Not well at all *

10. Rate the ease of the registration process 5 = Very Easy, 1 = Very Difficult *

11. Rate the program staff’s responsiveness to questions 5 = Very responsive, 1 = Not responsive at all *