Phase III: PLU Evaluation Form

Full Name *

First Name Last Name

E-mail *

Phone Number *

Area Code Phone Number

Organization

PLU *

Please rate the following PLU features: *

	Excellent	Very Good	Good	Fair	Poor
Expanding my professional knowledge
The quality of practical applications
The layout/organization of the professional study

Select the response that best reflects your level of agreement regarding your professional study experience. *

	Strongly Agree	Agree	Disagree	Strongly Disagree
I had ample opportunities for reflection and dialog.
The content and knowledge sessions I attended were pertinent and useful in my practices.
I was equipped with ideas to implement or apply.
I made valuable professional contacts with whom I have communicated.

What elements of the PLU were of value to you? *

What elements of the PLU were not of value to you? *

What key pieces of information interested you the most? *

Which of the following actions have you taken or plan to take with the knowledge gained from this PLU? (select all that apply) *

Design a workshop for colleagues Share information with colleagues Implement changes in my work Visit CLAS website for more information about a topic Research more about a topic

What is your overall professional study rating? *

How likely is it that you will earn future CLAS PLUs? *

How likely are you to recommend CLAS PLUs to a colleague? *

Additional thoughts: