Training Evaluation: Recognizing and Intervening in Domestic Violence and Abuse (OT268-A) Evaluation – Recognizing and Intervening in Domestic Violence and Abuse Training Name: Recognizing and Intervening in Domestic Violence and Abuse Learning Objectives As a result of this training, participants will be able to: 1) Differentiate between common hurtful behaviors and patterns of abuse in intimate relationships 2) Analyze the complex psychological, social, and economic factors that influence a partner’s decision to remain in an abusive relationship 3) Explain common forms of abusive behavior that are associated with domestic violence 4) Employ models for coordinated professional responses to domestic violence. You have the option to remain anonymous. Please select your preference below: * Include name and email addressRemain anonymous Email * Last Name (as you’d like printed on your certificate) * First Name (as you’d like printed on your certificate) * License Number, if applicable (for identity verification purposes) Issuing state/province, if applicable Which of the following best describes you? * Select OnePsychologistSocial WorkerCounselorStudentNone of the above I certify that I am the above-named person completing this form and that the information I submit here is accurate. * I agree 1. How much did you learn as a result of this CE program? 5 = Very much, 1 = Very little * 5 4 3 2 1 2. Rate the quality of the program content 5 = Very High, 1 = Very Low * 5 4 3 2 1 3. Rate how current/relevant the program content is 5 = Very High, 1 = Very Low * 5 4 3 2 1 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 4 3 2 1 5. Rate the instructor’s knowledge and expertise of the subject (Chris Huffine, PsyD) 5 = Very High, 1 = Very Low * 5 4 3 2 1 6. Rate the instructor’s teaching ability (Chris Huffine, PsyD) 5 = Very High, 1 = Very Low * 5 4 3 2 1 7.1. Would you agree that learning objective #1 was met? Learning Objective #1: “Differentiate between common hurtful behaviors and patterns of abuse in intimate relationships” 5 = Strongly agree, 1 = Strongly disagree * 5 4 3 2 1 7.2. Would you agree that learning objective #2 was met? Learning Objective #2: “Analyze the complex psychological, social, and economic factors that influence a partner’s decision to remain in an abusive relationship” 5 = Strongly agree, 1 = Strongly disagree * 5 4 3 2 1 7.3. Would you agree that learning objective #3 was met? Learning Objective #3: “Explain common forms of abusive behavior that are associated with domestic violence ” 5 = Strongly agree, 1 = Strongly disagree * 5 4 3 2 1 7.4. Would you agree that learning objective #4 was met? Learning Objective #4: “Employ models for coordinated professional responses to domestic violence.” 5 = Strongly agree, 1 = Strongly disagree * 5 4 3 2 1 8. Rate how well the program met your expectations (according to the promotional materials) 5 = Very well, 1 = Not well at all * 5 4 3 2 1 9. Rate the quality of the provided course materials 5 = Very High, 1 = Very Low * 5 4 3 2 1 10. Rate the quality of the facilities (in-person) or technology (online). 5 = Very High, 1 = Very Low * 5 4 3 2 1 11. Rate how well disability accommodations were met, if requested. 5 = Very High, 1 = Very Low * 5 4 3 2 1 N/A 12. Rate the ease of the registration process 5 = Very Easy, 1 = Very Difficult * 5 4 3 2 1 13. Rate the instructor’s (Chris Huffine, PsyD) responsiveness to questions 5 = Very Responsive, 1 = Not responsive* * 5 4 3 2 1 N/A 14. Rate the program staff’s responsiveness to questions 5 = Very responsive, 1 = Not responsive at all * 5 4 3 2 1 15. How will the information from this program be useful to you in the future? * 16. What did the program (or presenter/s) do particularly well that helped you understand the material? * 17. What, if anything, could the program (or presenter/s) have done differently to help you understand the material better? * 18. About how long did it take you to complete this course (including completing this form)? * 19. OPTIONAL: How did you learn about this training? 20. OPTIONAL: Do you have any additional thoughts or comments you’d like to share with us? Submit If you are human, leave this field blank. Δ