TMR Tots LEVEL 3 - Certificate & Day 2 Forms

TOTS LEVEL 3 - Day 2
Name As You Want On Your Certificate*

First NameLast NameCredentials
Email*
example@example.com
Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Name Of The Instructor :*

Susan BlumKristin Sanders
Date ( If taking Live/Live-online please put the last date of the seminar.)*

MonthDayYear
Date
SEMINAR TYPE: LIVE (if taken online for all but MTs), LIVE ONLINE (if taken for MTs)
SEMINAR City, State (OPTIONAL unless taking LIVE at location)
LICENSE NUMBER (S) & STATE(S)
How would you rate this Seminar (1 star - sucks, 5 stars - Awesome)*
Evaluation Questions :
Please rate on a scale of 1-5 to the following questions : (1 = Poor, 5 = Excellent)
1. Your overall satisfaction with the course ? (1-5)
2. Current Level Of confidence you have of TMR TOTS?
3. Ability you have to begin introducing TMR Tots on Monday?
Rate The Following Components Of This Program
5. The information received was useful and beneficial -*

Strongly AgreeAgreeDisagreeStrongly Disagree
6. The program met the stated learning objectives - *

Strongly AgreeAgreeDisagreeStrongly Disagree
8. The program faculty was responsive to questions/comments - *

Strongly AgreeAgreeDisagreeStrongly Disagree
9. The educational materials(manuals, handouts, forms) were useful - *

Strongly AgreeAgreeDisagreeStrongly Disagree
10. The learning assessment (surveys, forms, quiz etc) was appropriate - *

Strongly AgreeAgreeDisagreeStrongly Disagree
11. What did you like the most about this program ? *
12. What did you like the least about this program ? *
13. Did you feel that there was commercial bias or influence in this activity ?*

YesNo
If the above answer is Yes, please explain -
14. Identify topics you would like to have presented at future meetings - *
Please rate the following components of this program -
15. Registration Process -*

ExcellentGoodFairPoor
16. Program Faculty - *

ExcellentGoodFairPoor
17. Location -*

ExcellentGoodFairPoor
18. Was the program Faculty knowledgeable regarding the content of their presentation ?*

YesNo
19. Was the program Faculty Relevant regarding the content of their presentation ?*

YesNo
20. Was the program Faculty Effective regarding the content of their presentation ?*

YesNo
If you have answered No, to any of the above 3 questions, please explain
Please rate the following components of this program -
21. The presentations met my expectation - *

Strongly AgreeAgreeDisagreeStrongly Disagree
22. The Program Faculty style was appropriate for the materials presented - *

Strongly AgreeAgreeDisagreeStrongly Disagree
23. The Program Faculty was responsive to questions/comments - *

Strongly AgreeAgreeDisagreeStrongly Disagree
24. The Program met my objectives - *

Strongly AgreeAgreeDisagreeStrongly Disagree
25. The Knowledge & Information received is useful and beneficial to me - *

Strongly AgreeAgreeDisagreeStrongly Disagree
General Comments (if any) -
UPLOAD ALL DAY 2 PICTURES OF FORMS
UPLOAD HERE: TAKE PICS OF FORMS ON CAMERA. HIT BROWZE FILES AND THEN GO TO PHOTO GALLERY AND SELECT PICS OF FORMS.*

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TOTS LEVEL 3 - Day 2

Evaluation Questions :

Please rate on a scale of 1-5 to the following questions : (1 = Poor, 5 = Excellent)

Rate The Following Components Of This Program

Please rate the following components of this program -

Please rate the following components of this program -