Medically Fragile Conference Workshop Questionnaire

Medically Fragile Conference Workshop Questionnaire

1.5 Training Hour
INSTRUCTIONS: After viewing the training material, please fill out the following questions then click the submit button or print and, RETURN TO: ACRF, 815 Second AVE, Suite 202, Fairbanks, AK 99701. Or FAX to 907-479-9666.
Full Name*

First NameLast Name
Mailing Address*

Line 1

Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail*
Are you a*
Foster Parent Number
Would you like to receive emails from us?

Yes :)No
Name of Medically Fragile Conference Workshop:*
Date of Viewing:*
Speaker (s):*
Please give a short summary of at least (2) TWO main ideas that were presented in this webinar.
1)*
2)*
What are (2) TWO strategies or suggestions you learned in this webinar that you can directly apply to the fostering of a child who is medically fragile?
1)*
2)*
What is ONE resource or support that you can use from this webinar to help you in your fostering?
1)*
COURSE EVALUATION QUESTIONNAIRE
How would you rate the presentation of information in the course?*

ExcellentGoodFairPoor
Did this course add to your knowledge and/or skills?*

YesNo
If so, please tell us why.
Do you have any suggestions of how to make this web-based course better or easier to use?
FOR CREDIT CLICK THE SUBMIT BUTTON BELOW
Should be Empty: