R-TEP/G-TEP:GREP EVALUATION FORM

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
Address

OVERALL LEARNING EXPERIENCE:

R-TEP PARTICIPANTS WILL BE ABLE TO:

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G-TEP PARTICIPANTS WILL BE ABLE TO:

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OVERALL

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IF DONE ON-LINE:

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PRESENTER

Maria G Masciandaro, PsyD
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PROFESSIONAL & ETHICAL ISSUES

1.) Presenter made clearly evident, prior to registration, the following:
a. Requirements for successful completion of activity
b. Commercial support for CE program, sponsor, or instructor (or any other relationship that could reasonably be construed as a conflict of interest)
c. Commercial support for content of instruction (e.g., research grants funding research findings etc.) that could be construed as a conflict of interest
d. Commercial support or benefit for endorsement of products (e.g., books, training, drugs, etc.)
e. 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

IF AN IN-PERSON TRAINING:

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LEARNING

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PARTICIPATION INFORMATION

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