Evaluation Form printable pdf download

Evaluation Form

SPEAKER EVALUATION FORM

WORKSHOP: ANXIETY

SPEAKER(S): Dr. Verna Benner Carson, PMH/CNS-BC and Katherine J. Vanderhorst, BSN

DATE: January 10, 2014

Please complete and return this form to the your supervisor

Did the program meet the following objectives?

Yes

Discuss at least three ways to standardize care with anxious patients.

Discuss at least three symptoms of Anxiety disorders.

Discuss degrees of anxiety from mild to panic levels.

Engage in a comprehensive assessment process of anxiety.

Discuss the most common form of anxiety in the elderly.

Discuss pharmacological and non-pharmacological treatments for depression

Provide care planning guidance-teaching relaxation, taking meds.

Discuss at least three intervention strategies – use of CBT, Use of Teaching Tools, Use of Medications,

Value of telephone follow-up. .

Would you participate in another program on a similar topic by these speakers in the future?

Please rate the following:

Excellent

Good

Fair

Poor

What is your overall rating of this workshop?

Program content

Ease of use

Handout materials received were useful

Speaker was easy to follow and clear

Quality of technology

Delivery

Did you have a question you did not submit? Yes______

No_______

Why?

Length of webinar: Too Long______ Just Right________ Needed More Time_________

How can we improve this webinar?

Comments on speaker and presentation

What topics would you like to see covered at future conferences?

Evaluation Form