Clone of Early Childhood Mental Health Webi-Conference Questionnaire

ACRF Webinar 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 Name Last Name
Mailing Address*

Line 1

Line 2

City State / Province

Postal / Zip Code Country
Phone Number

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

Yes :)No
Title of Webinar Workshop You Viewed:*
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 in your home?
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?*

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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
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ACRF Webinar Workshop Questionnaire