WEBINAR EVALUATION FORM for CEs - CHRONIC RELAPSE, ADDICTION AS AN ATTACHMENT DISORDER Name* First Last Date MM slash DD slash YYYY PhoneEmail* Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Website (if applicable) Your area of expertise, professional interests and focus:*A. Based on the content presented, I can respond to the following questions:1. Which attachment style is most frequently associated with adult psychopathology?...* a. Avoidant attachment style b. Secure attachment style c. Disorganized attachment style d. All of the above 2. Relapse is related to issues with...* a. Self-cohesion b. Self-agency c. Self-urgency d. Both A and B 3. Metacognition is...* a. Thinking about one's self b. Feeling one's feelings authentically c. Thinking about thinking d. Understanding what one is thinking about 4. Earned Secure Attachment comes from a cohesive, coherent narrative.* a. TRUE b. FALSE B. Course Content and Learning Experience:1. Content was appropriate for LMFT, LCSW LPCC, and LEP training:* Strongly Agree Agree Neutral Disagree Strongly Disagree 2. Information could be applied to my practice.* Strongly Agree Agree Neutral Disagree Strongly Disagree 3. Teaching methods were effective.* Strongly Agree Agree Neutral Disagree Strongly Disagree 4. Information was current and accurate.* Strongly Agree Agree Neutral Disagree Strongly Disagree C. Instructors: Dr. Mark Schwartz and Lori Galperin, LCSW1. The presenters knew the subject matter.* Strongly Agree Agree Neutral Disagree Strongly Disagree 2. The presenters explained the material well and answered questions effectively.* Strongly Agree Agree Neutral Disagree Strongly Disagree 3. The presenters were responsive to questions that were posted or that were to be addressed in this presentation.* Strongly Agree Agree Neutral Disagree Strongly Disagree 4. The presenters utilized course-appropriate technology to support learning.* Strongly Agree Agree Neutral Disagree Strongly Disagree D. Materials and Documents Provided1. Instructional materials were suitable and useful.* Strongly Agree Agree Neutral Disagree Strongly Disagree 2. The topic covered in this webinar was of value and useful for my work.* Strongly Agree Agree Neutral Disagree Strongly Disagree E. Open-ended QuestionsE-1. What was your overall impression of the course? And, what went well in your opinion?*E-2. What could be improved? What suggestions might you have?*E-3. What topics and presenters would you like to see at future HPM presentations?*E-4. Additional comments or requests:
