Coherence Therapy

The art & science of lasting change

Coherence Therapy

Training & Certification Program

 

Training Program Evaluation Feedback Form

 

Please fill out the feedback form below within one week of finishing a training unit or at any time that you have feedback to offer. We rely on trainee feedback for continually improving the program.

 

If you paid the extra tuition fee for CE credit, Part B below is required for CE credit to be issued to you. Your CE certificate will be sent to you within four weeks of submitting this evaluation.

 

Thank you!

 


 

Name:
Phone number:
Email address:
Trainer(s):
Date ended:
Date today:

 

Type of Training:

 

TRAINERS WILL RECEIVE YOUR FEEDBACK WITHOUT YOUR NAME
OR OTHER IDENTIFYING INFORMATION

 

Please describe what you found most helpful, being as specific as possible.
(For GP with more than one trainer, you can make trainer-specific comments.)

 

Please describe any ways in which your experience could have been better.
(For GP with more than one trainer, you can make trainer-specific comments.)

 

What differences have you seen in your work with clients (please be specific)?

 

Please enter any other comments you wish to add:



Part B - Required for CE credit

 

License (psychologist, LCSW, MFT, LPC, LCPC, LMHC, NCAC, ...)
License number
Licensing state (USA)
Academic degree
Street address (for mailing CE certificate to you)
City
State and ZIP code

 

Rate each item below:
5  =  EXCELLENT
4  =  VERY GOOD
3  =  GOOD (adequate)
2  =  FAIR (minimally adequate)
1   =  POOR (inadequate)

 

The amount you learned
 
Fulfillment of Learning Objective 1: Define and carry out the discovery stage of Coherence Therapy
 
Fulfillment of Learning Objective 2: Define and carry out the integration stage of Coherence Therapy
 
Fulfillment of Learning Objective 3: Define and carry out the transformation stage of Coherence Therapy
 
Appropriateness to your education, experience and licensure level
 
Effectiveness of the trainer's communication and methods
 
Relevance and usefulness to your practice
 
The currency of information; how up-to-date the Practicum was
 
Knowledge and expertise of trainer(s)
 
Trainer's responsiveness to participants
 
User-friendliness of technology used
 
Responsiveness of the technology to your use of it
 
Trainer's ability to utilize appropriate technology to support learning
 
Your overall rating of the technology used
 
Suitability and/or usefulness of instructional materials
 
Ease of program administration (signup process, information on procedures, etc.)
 
Promptness and effectiveness of administrative responses to your questions or problems