National Council of Certified

Seminar Evaluation.

Please take the time to complete an evaluation of your experience in the Alzheimer's Disease and Dementia Seminar you attended. Your opinions and recommendations are important and will be kept confidential. It is important that we have your name and that information will be kept in the strictest of confidence and will not be shared with the instructor.

Your Name*

Email*

Phone

Date of class

City Where You took the Class

State Where You took the Class

Title of your seminar*

Instructor's Names*

1. Rate the speakers knowledge of the topic

2. Power Point / Overheads used were

3. Ability to hold your attention

4. Handouts related to the topic

Please describe what type of hand outs you received?

Were the hand outs in a binder?

Yes

No

Did you have dividers in the hand outs?

Yes

No

Were you shown the Aging and Intimacy videos?

Yes

No

Were you shown any other videos?

Yes

No

What topics?

How did you hear about us?

What is the name of the organization?

Magazine

Web Search

If Web Search, what words or phrases did you enter for your search?

Association or Conference

Email- Please explain

Fax- Did you receive a NCCDP fax about a seminar?

Other

Comments

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