National Counselor Ebook Continuing Education

Evaluation (Completion of this form is mandatory)

Elite Learning

PCUS1426

Last Name ____________________________________________ First Name _ ___________________________________ MI _ _____ State ____________________________ License # _______________________________________ Expiration Date _ _____________

To receive continuing education credit, completion of this Evaluation is mandatory.

Please read the following questions and choose the most appropriate answer for each course completed. 1. Was the course content new or review? 2. How much time did you spend on this activity, including the test questions? 3. Would you recommend this course to your peers? 4. Did the course content support the stated course objective? 5. Did the course content demonstrate the author’s knowledge of the subject? 6. Was the course content free of bias? 7. Before completing this course, did you identify the necessity for education on the topic to improve your professional practice? 8. Have you achieved all of the stated learning objectives of this course? 9. Has what you think or feel about this topic changed? 10. Did evidence-based practice recommendations assist in determining the validity or relevance of the information? 11. Are you more confident in your ability to provide patient care after completing this course? 12. Do you plan to make changes in your practice as a result of this course content?

Code of Ethics for Counselors and Marriage and Family Therapists 6 CE Credit Hrs

Behavioral Addictions 6 CE Credit Hrs

Cultural Humility in Healthcare 2 CE Credit Hrs

1.  New

 Review 2. _____ Hours 3.  Yes

 No  No  No  No  No  No  No  No  No

 No  No  No  No  No  No  No  No  No  No

4.  Yes 5.  Yes 6.  Yes 7.  Yes 8.  Yes 9.  Yes

4.  Yes 5.  Yes 6.  Yes 7.  Yes 8.  Yes 9.  Yes 10.  Yes 11.  Yes 12.  Yes

10.  N/A 11.  Yes 12.  Yes

Code of Ethics for Counselors and Marriage and Family Therapists — If you answered YES to question #12, how specifically will this activity enhance your role as a member of the interdisciplinary team? ________________________________________________________________ ________________________________________________________________________________________________________________ Behavioral Addictions — If you answered YES to question #12, how specifically will this activity enhance your role as a member of the interdisciplinary team? ______________________________________________________________________________________________ ________________________________________________________________________________________________________________ Cultural Humility in Healthcare — If you answered YES to question #12, how specifically will this activity enhance your role as a member of the interdisciplinary team? ___________________________________________________________________________________________ ________________________________________________________________________________________________________________

Signature ___________________________________________________________________________________ Signature required to receive continuing education credit.

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