Course Evaluation

Provider: Becky Dorner & Associates

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Name of CPE activity completed:

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Date Completed:

It is not mandatory to complete the evaluation to receive your certificate, however, your feedback helps us to continually improve our programs. Please note that this evaluation is divided into two parts: one for Becky Dorner & Associates feedback and the other for CDR evaluation components.

Questions or concerns may also be sent to info@beckydorner.com. We are here to support you, so feel free to contact us. Thank you!

Becky Dorner & Associates Feedback

Suggestions for future topics, speakers, and/or resources
Please help us develop new resources to support your needs by identifying specific topics, speakers, courses, and/or resources that would be helpful to you in your professional practice. Kindly provide specific details on the topic (e.g., oral medication chart for diabetes) and preferred format (webinar, course, inservice, tip sheet, info graphic, algorithm, pocket guide, and hard copy, downloadable, video, etc.).

Suggestions for future topics, speakers, and/or resources:

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Achieved stated objectives.

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Likelihood of recommending this training to a colleague.

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Likelihood of participating in another one of our programs in the future.

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Usefulness of educational material.

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Applicability of this CPE activity to meet your educational needs.

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Information shared contributes to my continued competence in practice.

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Utilized best available research evidence?

Yes
No

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Included ample peer-reviewed references to substantiate content?

Yes
No

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Expertise of Provider / presenter contributed to content quality?

Yes
No

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Target audience was appropriate?

Yes
No

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Met educational needs and / or addressed practice gaps?

Yes
No

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Included practical information for implementing changes to practice?

Yes
No

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Provided a balanced perspective/ stated benefits and shortcomings?

Yes
No

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Please describe any other noteworthy attributes of the CPE activity:

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If you selected No for any of the above, please elaborate:

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Included materials and content which emphasized and included diversity represented in the learning group?

Yes
No

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Included a focus on differences that may vary within and between patient / client populations?

Yes
No

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Established an environment or facilitated interactions which encouraged and respected diverse and divergent experiences and viewpoints?

Yes
No

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Encouraged reflection on bias and privilege and the promotion of personal growth?

Yes
No

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If you selected No for any of the above, please elaborate:

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Free of bias?

Yes
No

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Non-discriminatory?

Yes
No

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Inclusive?

Yes
No

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Conscious of honoring how individuals choose to identify themselves?

Yes
No

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Free of microaggressions?

Yes
No

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Unfamiliar with one or more of the concepts presented above (if selected, please elaborate):

Yes
No

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Please elaborate:

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As a result of the education do you intend or plan to: (select all that apply)

Share the information / collaborate with colleagues
Review supplementary information to support or expand your learning
Seek additional CPE activities related to this topic
Alter methods in which you care for patients/clients/customers
No action
Other (describe)

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Describe:

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Author/presenter was skilled at presenting his/her knowledge/message.

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This course will help to improve my performance in my professional practice.

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The presentation was without commercial bias.

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Suggestions for Improvement

CDR CPEU Prior Approval Program CPE Activity Evaluation

Consider completing this evaluation to help the CPE Provider gauge learner satisfaction and activity effectiveness.

Indicate ‘yes’ or ‘no’ for the following.

Did the activity meet the stated learning objectives?

Yes
No

Was the activity relevant to professional dietetics practice?

Yes
No

Was the activity content valid?

Yes
No

Was the activity free of commercial bias and marketing?

Yes
No

Did the activity present a balanced perspective?

Yes
No

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Did the activity incorporate principles of equity (i.e., did the activity content and/or speaker recognize and respect differences in ability, age, creed, culture, ethnicity, gender identity, political affiliation, race, religion, sexual orientation, size, and socioeconomic characteristics)?

Yes
No

Overall, were you satisfied with the activity?

Yes
No

If you indicated ‘no’ for any of the above, please explain.

CDR credentialed practitioners may share information regarding the quality of this CPE activity or any CDR prior approved activity with CDR staff by submitting the CDR CPEU Prior Approval Activity Complaint form on CDR’s website.

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Becky Dorner & Associates Feedback

CDR CPEU Prior Approval Program CPE Activity Evaluation

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