Delaware Valley Association of Black Psychologists (DVABPsi)

DVABPSI CONTINUING EDUCATION PARTICIPANT SATISFACTION/EVALUATION FORM

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Name/Degree:_____________________________Address:_______________City/State/Zip:_______

Workshop: Mbongi: KWANZAA UMOJA Ethics and the Use of Holidays

Date/Location of Workshop: Virtual 3 CE Ethics Mbongi, Wednesday, December 17, 2022, 12 P.M. – 3 P.M. EST

Number of CE Credits:  3 Ethics

Presenter(s}: Faruq Iman, Ph.D., CHP and  Ayo Maria Gooden, Ph.D., ABPBC

• I am a psychologist seeking CE credits to maintain my psychologist license.

• I am a non-psychologist.

• I am a certified counselor.

• I am a social worker.

• Other _______________________________________________________

PLEASE COMPLETE AND RETURN BEFORE LEAVING THE WORKSHOP or SEND TO OUR EMAIL: dvabpsiorg@gmail.com

If you cannot type in your form, you may write to us at dvabpsiorg@gmail.com and request a form.

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Using the scale below, circle appropriate number after each statement to indicate the degree to which you agree or disagree with the statement.

[Strongly (-) DISAGREE]                1                2                3                4                5                [Strongly (+) AGREE]

1. The workshop description was accurate.                                1              2              3              4              5

2. I acquired new knowledge and/or skills.                                  1              2              3              4              5

3. The teaching format/length was suitable to the content.         1              2              3              4              5

4. The objectives of the course were met.                                   1              2              3              4              5

5. The participant/instructor interaction was sufficient.                1              2              3              4              5

6. Handouts and audiovisual aids were legible and helpful.        1              2              3              4              5

7. The presenter(s) were well prepared.                                      1              2              3              4              5

8. The concepts were well prepared.                                           1              2              3              4              5

9. The presenter(s) were responsive to questions.                      1              2              3              4              5

10. The workshop staff was responsive and helpful.                     1              2              3              4              5

11. The workshop facility was comfortable and adequate.            1              2              3              4              5

12. Enrollment was smooth and efficient.                                      1              2              3              4              5

13. I would recommend this workshop to others.                          1              2              3              4              5

14. The presenter(s) have good presentation skills.                      1              2              3              4              5

How much did you learn as a result of this CE program? (1 being very little   5 being a great deal)

                                                1             2             3             4                5

Comments and recommendations for change if this workshop is presented again (e.g. length, handouts,

 format, etc.). If any score is less than 5, explain what is needed to make the score a 5  ______________________________________________

Suggestions for future workshop topics:  ___________________________________________________________________________________

LEARNING ASSESSMENT

Please rate the following statements on the scale below (circle numbers 1 - 5).

Based on the content of this workshop, I am able to:

                Strongly DISAGREE (1)                                                    Strongly AGREE (5)

1. Describe how to celebrate Kwanzaa.                                                       1      2      3      4      5

2. List symbols used in Kwanzaa.                                                                 1      2      3      4      5

3. Explain the Seven Principles of Kwanzaa.                                                1      2      3      4      5

4. Discuss why Kwanzaa is important to Black families.                               1      2      3      4      5

5. Explain the relationship between Kwanzaa and ethics                              1      2      3      4      5

If any score is less than 5, explain what it would take to make it a 5 _________________________________________________________

How useful was the content of this CE program for your practice or other professional development?      

Not Useful (1 )       Extremely Useful (5)                                                                                       1        2        3        4        5

If your score was less than a 5, explain what was needed to make it a 5 ________________________________

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