San Francisco Center for Psychoanalysis Course Evaluation
Title of Course:
Course Date:
Course Times:
Presenter (s):
EVALUATION
We appreciate your help in evaluating this program. Please indicate your rating of the presentation in the categories below by circling the appropriate number, using a scale of
1 (strongly disagree) through 5 (strongly agree). Please fill out both sides of this form.
What is your current professional status? Underline one or more of the following options:
Psy.D. Ph.D. LCSW MFT MD RN
OBJECTIVES
Based on the content of this course I am able to:
Strongly disagree Strongly agree
1. Specific objectives
1 2 3 4 5
2. Specific objectives
1 2 3 4 5
3. Specific objectives
1 2 3 4 5
PRESENTERS
1. Knowledgeable in subject area
1 2 3 4 5
2. Presented material consistent with course objectives
1 2 3 4 5
3. Presented content clearly and effectively
1 2 3 4 5
4. Aroused interest and enthusiasm
1 2 3 4 5
5. Appeared to be organized and prepared
1 2 3 4 5
6. Answered questions adequately and encouraged discussion
1 2 3 4 5
COURSE ASSESSMENT
1.As a result of attending this course, I see the value to me in the following ways (check all that apply and further comments appreciated):
___I gained one or more specific ideas that I can implement in my area of practice
___I learned a new approach to my practice.
___It may help me do a better job.
___I do not see the impact of this course on my job.
___Other
Comments: ________________________________________________________
2. By attending this course, I believe (check all that apply and further comments
appreciated):
___I was able to update my skills.
___I acquired new and/or advanced skills.
___I have better knowledge upon which to base my decisions/actions in the
practice setting.
___I am reconsidering my views toward the topic(s) presented.
___The topic presented was appropriate, but I am undecided as to my own views.
___Other
Comments: _______________________________________________________
3. Length of course was appropriate for material (please circle): yes no
If no (please circle): shorter longer
4. How would you rate the overall quality of this course? 1 2 3 4 5
GENERAL
1. How suitable were the facilities and arrangements?
2.Additional comments or suggestions for future programs
Click here to download Course Evaluation Form
