Please enable JavaScript in your browser to complete this form.Name *FirstLastCBMT Number (Required to receive CMTE Certificate)Please select "yes" or "no" to indicate whether or not, in your opinion, the specific learning objectives for this opportunity were met:Identify signs and symptoms of compassion fatigue and burnout *YesNoExplore barriers to engaging in self-care strategies *YesNoRecognize realistic strategies for integrative self-care *YesNoExplore ways to monitor occupational stress and fatigue *YesNo Please select "yes" or "no" to answer the following questions:Was physicial environment conducive to learning? *YesNoWas the length of the program appropriate? *YesNoWas the amount of material presented sufficient? *YesNoWere my educational needs and expectations met? *YesNoInstructor: Dr. Russell Hilliard Rating Scale: Excellent = 4, Good = 3, Fair = 2, Poor = 1Presentation style *4321Knowledge of subject and clarity *4321Interaction with participants (Leave blank if no interaction occurred during this opportunity)4321Please rate the CMTE content:Quality of relevant information *4321Quantity of relevant information *4321Organization of material *4321Instructor: Dr. Dena Register Rating Scale: Excellent = 4, Good = 3, Fair = 2, Poor = 1Presentation style *4321Knowledge of subject and clarity *4321Interaction with participants (Leave blank if no interaction occurred during this opportunity)4321Please rate the CMTE content:Quality of relevant information *4321Quantity of relevant information *4321Organization of material *4321What information presented in this CMTE opportunity was most useful to your practice? *This CMTE opportunity could be improved by: *Please suggest topics for future CMTE opportunities. *PhoneSubmit
