Phase III: PLU Evaluation Form

Full Name

First NameLast Name

E-mail

Phone Number

Area CodePhone Number

Organization

Please rate the following PLU features:

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

PLU

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

Rows	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)

Other

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: