In order to receive credit (CEs) for trainings, you must complete this form for EACH session you attend. You will be able to submit it multiple times so that each time you attend a session, you submit a new CE form. The rating scale represents the following: (5) strongly agree, (4) agree, (3) neutral, (2) disagree, (1) strongly disagree. “Colorado Counseling Association is an NBCC-Approved Continuing Education Provider (ACEPTM) and may offer NBCC-approved clock hours for events that meet NBCC requirements. The ACEP solely is responsible for all aspects of the program.”

1

Full name and Credentials

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Title of Session Attended

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Please indicate the format of the session

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This topic was relevant to my practice (1-strongly disagree, 3 neutral, 5 highly agree)

5 being the highest. Leave blank if N/A.
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5

The instructor was knowledgable on the subject matter (1-strongly disagree, 3 neutral, 5 highly agree)

5 being the highest. Leave blank if N/A.
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The material I recieved was beneficial (1-strongly disagree, 3 neutral, 5 highly agree)

5 being the highest. Leave blank if N/A.
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The presentation met my expectations as a mental health professional (1-strongly disagree, 3 neutral, 5 highly agree)

5 being the highest. Leave blank if N/A.
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8

What comments/feedback would you like to share with the presenter about the session?