"*" indicates required fields

Title of workshop: Neurobiology, Attachment & Secure Relationships

Date & Location September 1 - October 6, 2021

Participant's Name*

Commitment to Change

As a result of my participation in this activity, I will commit to: Using the knowledge presented to promote the best practices and techniques when working with victims of abuse. Setting boundaries when working with these clients.

Objectives

The course met the stated objective.

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree

Faculty

Rate the quality of the faculty member(s) listed below, from 5 (Excellent) to 1 (Poor) taking into consideration their content, clinical relevance, teaching strategies, and level of expertise.

54321N/A

Credibility

Will you change the way you practice based on this activity?
Do you feel the activity was balanced and objective?
Do you feel the activity was free of commercial bias?
Approximately what percent of this content was NEW to you?*
What I liked about this activity…? (Select all that apply)
Do you give your permission to share these comments on Diane Poole Heller’s 
website and/or other written materials?*
If you would like to comment in person, please email us at [email protected]
This field is for validation purposes and should be left unchanged.