Feedback Form for Live Suicide Training

Type of CE Credit requested:*

Social Work

Psychology

CADC

LMFT

Nursing

Part 1: Learning Objectives

Please evaluate that the following learning objectives were met. After this course, participants will be able to: *** Rating Scale: 1 Strongly Disagree –> 4 Strongly Agree***

Recognize risk factors for suicide.*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

Identify research-based assessment questions to determine level of suicidal risk*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

Determine best practice methods for the management and treatment of suicidal clients.*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

Identify national resources for professionals and at risk individuals*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

Part 2: Course Content

Please evaluate the following aspects of course content and delivery:

Content was appropriate to my education, experience and/or licensure level.*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

Content was current.*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

Content was relevant to my practice.*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

This program enhanced my professional expertise.*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

The handouts and teaching aids enhanced the content of the course.*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

The length of time to complete the course matches the number of CE credits awarded for the course.*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

The post-test questions related to the course content.*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

The post-test questions were appropriately difficult for the identified course level.*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

I preferred to take this course online versus within a live session format.*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

The technology used within the course was user friendly.*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

I would recommend this course to others.*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

Part 3: CE Administration

Please indicate your agreement with the following statements:

Registration was straight forward.*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

Questions or concerns were addressed effectively, and in a timely manner.*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

The instructions for requesting accommodations for disability were clear.*

Strongly disagree	Disagree	Agree	Strongly agree	N/A

Part 4: Short Answer

If applicable, please answer the following questions in the textbox provided below:

Comments, Concerns, or Suggestions for Program Improvement:*

Areas/Topics that you would like the UK College of Social Work to provide for future workshops:*

How did you learn of this workshop?

I am on the CE list serv

Referred by colleague

Referred by my licensing board

UK CE website

Flyer, poster or brochure

Other

If you would like to be added to the CE list serv to be alerted of future CE offerings, please print your email address below:*

Feedback- Suicide Prevention Feedback Form

Part 1: Learning Objectives

Part 2: Course Content

Part 3: CE Administration

Part 4: Short Answer