1. Course title: 100-Hr Comprehensive Training in Clinical Hypnosis & Strategic Psychotherapy

    2. Dates: October 26-30,2022, November 30-December 4, 2022, January 11-15, 2023, February 15-19, 2023 and March 15-19, 2023

    3. What is your current professional title
      PsychologistPhysicianMarriage-Family TherapistSocial WorkerCounselorOther

    4. If you are a licensed clinical psychologist, please provide your license number in the box below. If you are NOT a PSYCHOLOGIST, please write in the numbers 123

    5. What were your primary reasons for selecting this program? (You may choose more than one)
      Subject was of interestImportant to job activitiesReputation of instructorPreviously took another course with the instructorRecommended by someoneOther (please explain)

    6. If you answered "Other," please explain here:
      PLEASE USE THE FOLLOWING KEY TO ANSWER THE QUESTIONS BELOW 1 = Strongly disagree, 2 = Disagree, 3 = Neither agree nor disagree, 4 = Agree, 5 = Strongly agree

      Course Content

    7. Was course consistent with its objectives and title?
      12345

    8. Was the course appropriately challenging?
      12345

    9. Did the course expand your knowledge of this topic?
      12345

    10. Was material relevant to your professional activities?
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    11. Instructor, (Michael D. Yapko, Ph.D)

    12. Did the instructor know the subject matter?
      12345

    13. Did the instructor present content effectively (e.g., promoted deep reasoning and learning; included a consideration of obstacles or anomalies)?
      12345

    14. Did the instructor maintain your interest?
      12345

    15. Was the instructor well prepared?
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    16. Did the instructor answer questions effectively?
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    17. Was the instructor responsive to questions, comments, opinions?
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    18. Did the instructor provide a variety of applied examples (case presentations)?
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    19. Learning

    20. Information could be applied to my practice or other work context?
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    21. Information contributes to achieving personal or professional goals?
      12345

    22. How much did you learn as a result of this program?
      Very LittleLittleSomeA Good BitA Great Deal

    23. This program enhanced my professional expertise
      yesno

    24. Administration

    25. Were administrative issues appropriately addressed?
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    26. Was the registration process handled satisfactorily?
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    27. Venue

    28. Was the Zoom platform appropriate for the didactic presentation of material?
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    29. Did you find the breakout practice sessions worked well on the Zoom platform?
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    30. Program Value

    31. On a scale of 1-5 with 1 being the worst and 5 being the best, how would you rate the overall value of this program?
      12345

    32. Would you recommend this course to a colleague?
      yesno


    33. Additional Feedback Please

    34. Do you have any suggestions for what we might do to enhance the online learning experience for next year’s online training ?

    35. Please feel free to add any additional comments you wish to share. This form allows you to provide all of this feedback anonymously, but if you wish to add your name, please feel free to do so.