R-TEP/G-TEP/GREP EVALUATION FORM

Which Training did you recently attend?(Required)

Recent Traumatic Episode Protocol (R-TEP)

Group Traumatic Episode Protocol (G-TEP)

(Select either R-TEP or G-TEP, or both if you've recently completed both training sessions)

In order to ensure the integrity of your evaluation, please do no proceeed to complete this form until all of your training has been completed. You are welcome to review the questions on this evaluation form at any time.

Recent Traumatic Episode Protocol (R-TEP) Date Attended:

Group Traumatic Episode Protocol (G-TEP) Date Attended:

Please fill out the sections relevant to the training you took. Please numerically rate each relevant question. A text box is also available if you wish to leave additional comments on any item

12 CE for both trainings or 6 CE for a single training

Name

First Last

Address

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

OVERALL LEARNING EXPERIENCE:

Course Content was current:

Course registration was user friendly:

R-TEP PARTICIPANTS WILL BE ABLE TO:

1.) Name 2 reasons for a different protocol for recent trauma

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

2.) Identify 1 issue encountered with early EMDR intervention

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

3.) Describe one challenge for the therapist with EEI

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

4.) Define episode narrative & how and when this is obtained

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

5.) Explain how to obtain your targets for processing

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

6.) Describe how targets are identified for the google search

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

7.) Define focused processing

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

8.) Demonstrate the use of EMDr and EMD

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

9.) Describe how to deal with stuck points.

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

10.) Define how the search for Points of Disturbance ends

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

11.) State how to close a session & begin the next one

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

12.) Name a published research study utilizing RTEP

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

13.) Cite one goal of EEI (Early EMDR Intervention)

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

14.) Name 1 assessment tool useful with traumatized clients

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

G-TEP PARTICIPANTS WILL BE ABLE TO:

1.) List one challenge faced adapting R-TEP for groups

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

2.) Identify the materials necessary for a G-TEP session

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

3.) Describe the important staffing considerations

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

4.) State the 6 + 2 steps

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

5.) Explain two uses for the Step 1 exercise

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

6.) Recite the steps that encourage group sharing

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

7.) Describe how you determine the length of sets

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

8.) Explain how to determine when to checking in

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

9.) Recite the steps that encourage group sharing

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

10.) Describe what to do if SUDs are not reducing

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

11.) Explain the options for follow-up have in G-TEP

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

12.) Describe the steps in the GREP

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

13.) Name important considerations for GTEP vs GRE

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

14.)Discuss the adaptations for children and non-readers

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

OVERALL

1.) The course was appropriate to my level of training

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

Comments:

2.) Accuracy and utility of content were discussed

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

Comments:

3.) Teaching methods were effective

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

Comments:

4.) Visual aids, handouts, and oral presentations clarified content

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

Comments:

5.) Program flyer was informative and accurate

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

Comments:

IF DONE ON-LINE:

1.) Platform was reliable

2.) Technology was conducive to learning

PRESENTER

Maria G Masciandaro, PsyD

1.) Knew the subject matter

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

Comments:

2.) Presented content effectively (e.g., promoted deep reasoning and learning; included a consideration of obstacles or anomalies)

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

Comments:

3.) Elaborated upon the stated objectives

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

Comments:

4.) Maintained my interest

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

Comments:

5.) Answered questions effectively

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

Comments:

6.) Was responsive to questions, comments, and opinions

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

Comments:

7.) Provided a variety of applied examples (e.g., case presentations)

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

Comments:

PROFESSIONAL & ETHICAL ISSUES

Presenter made clearly evident, prior to registration, the following:

1.) Requirements for successful completion of activity

Yes

2.) Commercial support for CE program, sponsor, or instructor (or any other relationship that could reasonably be construed as a conflict of interest)

Yes

3.) Commercial support for content of instruction (e.g., research grants funding research findings etc.) that could be construed as a conflict of interest

Yes

4.) Commercial support or benefit for endorsement of products (e.g., books, training, drugs, etc.)

Yes

5.) Accuracy and utility of the materials presented, the basis of such statements, the limitations of the content being taught and the severe and most common risks

Yes

IF AN IN-PERSON TRAINING:

1.) Facility was adequate for my needs

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

2.) Special needs were met

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

3.) Facility was comfortable and accessible

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

4.) Food and beverage were adequate (if applicable)

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

5.) Program brochure was informative and accurate

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

LEARNING

1.) Information could be applied to my practice or other work context

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

2.) Information contributes to achieving personal or professional goals

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

3.) Issues of diversity were addressed

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

4.) How much did you learn as a result of this CE program?

5.) How useful was the content of this CE program for your practice or other professional development?

6.) This program enhanced my professional expertise

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

7.) I would recommend this program to others

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

8.) Teaching methods and tools focused on how to apply program content to my practice/work environment

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

9.) Learning was enhanced through a variety of formats.

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

10.) The presentation facilitated the integration and synthesis of information

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

PARTICIPATION INFORMATION

1.) Please note your profession and status (Check all that apply)

Social Worker

University Faculty

Masters Level Licensed Therapist

Psychologist

Other

2.) Please note years in your profession

Student

1-5

6-10

11-20

20+