Webinar Evaluation Form for CEUs - Nicholas Barth, MA, LMFT | Friday, Nov. 16

Name*

First Last

Date

Phone

Email*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website (if applicable)

Your area of expertise, professional interests and focus:*

A. Based on the content of the course, I acquired knowledge of:

1. Practical somatic psychotherapy skies*

2. Neurological theories of trauma*

3. Tools for stabilization*

4. Pathways for learning more about somatic psychotherapy*

1. Content was appropriate for LMFT, LCSW LPCC, and LEP training:*

2. Information could be applied to my practice.*

3. Teaching methods were effective.*

4. Information was current and accurate.*

1. Dr. Southern knew the subject matter.*

2. Dr. Southern presented the material well and answered questions effectively.*

3. Dr. Southern was responsive to questions that were posted or that were to be addressed in this presentation.*

4. Dr. Southern utilized course-appropriate technology to support learning.*

1. Instructional materials were suitable and useful.*

2. Articles provided were of interest and relevant.*

3. The Hyperseuxal Behavior Inventory is a useful questionnaire for my practice and/or learning.*

E-1. What was your overall impression of the course. What went well?*

E-2. What could be improved? What suggestions might you have?*

E-3. What topics and presenters would you like to see at future Harmony Place presentations?*

E-4. Additional comments or requests: