Va-LEND Module Evaluation-Person Centered Thinking and Disability Etiquette

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

First and Last Name *

What is your role in working with children/families with special health care needs/disabilities? (For example: Occupational Therapist, Social Worker, Special Education, Parent, Self Advocate, etc.) *

What is your zip code? *

Date Module Completed *

YYYY

I increased my awareness of the health care needs of children with autism spectrum disorder, developmental disabilities, and other special needs. *

Strongly Disagree

Strongly Agree

I increased my awareness of interdisciplinary, family-centered, culturally/linguistically competent, evidenced-based and community-based approaches to services and supports. *

Strongly Disagree

Strongly Agree

In what ways might you use what you’ve learned from this module? *

Name three of the things you enjoyed learning the most about: *

What is your overall level of satisfaction with this module? *

Highly dissatisfied

Highly satisfied

Thank you!

Thank you for completing the evaluation. Your certificate will automatically be emailed to you as an attachment upon submission of this form.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Virginia Commonwealth University.

Does this form look suspicious? Report

Forms