Finally, you have completed your workshop, tested your participants, and now its time to receive their feedback and evaluation. This information is important for you. It provides the specifics you need to improve your workshop or course the next time you present it. Many CEU approval programs require course participant evaluation data as part of their renewal of CEU approval.

There are many formal ways of developing program or participant evaluation forms. They require knowledge of statistical analysis that is beyond the scope of this program – another entire course. For now, I’m going to share two types of participant evaluation forms as models for your own form development.

The first is a generic form – one that can be used for any workshop.

Program Evaluation Form

Program ____________________________________ Date _____________

A. METHODS OF INSTRUCTION
How would you rate the methods of presentation ( where applicable)

Very Effective

Quite Effective

Neutral

Not Effective

Learner Participation

Use of Teaching Aids

Speaker’s Content

Completeness of Coverage

B. PRESENTATION
In your opinion, the presentation was (check all that apply)

1. Depth of material

□ elementary

□ varied

□ advanced

□ just right

2. Pace of Presentation

□ fast


slow

□ suitable

□ erratic

3. Overall content

□ too general

□ too detailed

□ too theoretical

□ correct

C. SESSION CONTENT

Which information was of most value to you?


Which information was of the least value to you?

D. REACTION TO SESSION AS A WHOLE
To what extent did you get the information you expected from this session?

□ To great extent


To some extent


Not at all

E. CAN YOU APPLY THE MATERIAL PRESENTED? (circle number that applies)

21 20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1

very much so to some extent just barely not too easily not at all

F. RECORD YOUR OVERALL REACTION TO THE SESSION

21 20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1

excellent good average fair poor

G. COMMENT ON ASPECTS OF THE SESSION YOU WOULD LIKE TO SEE CHANGED, AND HOW.

H. SUMMARIZE, IN ONE SENTENCE, WHAT YOU HAVE LEARNED FROM THIS PROGRAM.

The second is a form tied to specific workshop goals and objectives. Most CEU approval organizations will require this second one.

Feel the Flow- Participant Evaluation Form


Date:_______________ Location: Mountain Valley Center, Otto, NC


Purpose and Goals

Physical Therapists are constantly flowing energy – physical energy, emotional energy, and mental energy. Thepurpose
of this workshop is to introduce participants to a variety of holistic energy healing techniques in order to increase the efficacy of their current health care practice. Thegoal
is for physical therapists to learn how to direct this flow for therapeutic benefits to themselves and their patients.

Please rate the effectiveness of this continuing education activity.

5=Excellent 4=Very good 3=Good 2=Fair 1=Poor

Please rate the following :

5

4

3

2

1

The extent to which the learner objectives were achieved:

1.
Define the term chakra, from origin to current modern usage.

2. Perform a chakra assessment using tools including computer biofeedback and pendulum dowsing.

3.
Differentiate the 7 major chakra centers with respect to emotional issues, physical issues, and adult developmental issues.

4.Participate in a guided imagery session to expand and clear chakra energy in selected locations

5.
Describe the relationship of the 5 Elements (Ether, Air, Fire, Water, and Earth) to the chakra centers and to body structures.

6.
Identify nutritional needs and meditative practices to balance each of the 5 elements.

7. Identify the major positive, negative, and neutral poles on the body.

8. Perform general energy balancing techniques by integrating information about the 5 elements with information about body polarity.

9. Differentiate between the three major forms of meditation (Contemplation, Concentration, and Mindfulness) with respect to process and outcome.

10.Participate in all three types of meditation and discuss the results.

11.Develop a plan to use this workshop information in both professional and personal practice.

Please rate the following:

Jill N. Henry, EdD, PT, APP : Expertise of the presenter:

Appropriateness of teaching strategies:

Appropriateness of physical facilities

Appropriateness of learning activities

Relationship of objectives to overall purpose/goal

Extent to which your personal goals were met

Usefulness of material to your practice

Summarize, in one sentence, what you have learned from this workshop

Comments

Suggest Topics for Future Workshops
:

After reviewing the forms above, please Go to

Module 3, Test 3

to submit the evaluation for your course.

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