Thursday's Evaluation
Please complete and submit by Thursday, May 16 at 9:00 pm PST
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9:00 am Plenary by Tiffany Gladdis, PhD and Kara Wahlin, MFT- First, Do No Harm: How to Practice Trauma-Responsive Care in the NICU
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Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Course appropriateness to participants’ education, experience, and licensure level?
Relevance to the practice?
Currency and accuracy of the information?
Instructor’s responsiveness to participants?
Instructor’s ability to utilize course-appropriate technology to support participant learning?
10:30 am A-1 Break Out by Farah Diaz-Tell, JD - Trauma and Punitive State Systems: Understanding the Harms of Criminalization in the Perinatal Period *
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Course appropriateness to participants’ education, experience, and licensure level?
Relevance to the practice?
Currency and accuracy of the information?
Instructor’s responsiveness to participants?
Instructor’s ability to utilize course-appropriate technology to support participant learning?
10:30 am Break Out A-2 by Eline de Groot, PhD and Christine Gliniak,  PhD, OTR/L, CNT, CPXP, NTMTC - Neonatal Sleep Assessment: Optimizing Sleep as a Trauma-Responsive Approach                                                      *
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Course appropriateness to participants’ education, experience, and licensure level?
Relevance to the practice?
Currency and accuracy of the information?
Instructor’s responsiveness to participants?
Instructor’s ability to utilize course-appropriate technology to support participant learning?
10:30 am Break Out B-1 by Loretta Michal Johnson, MM, MBA, CSM®, MT-BC - Trauma-Informed Music Therapy *
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Course appropriateness to participants’ education, experience, and licensure level?
Relevance to the practice?
Currency and accuracy of the information?
Instructor’s responsiveness to participants?
Instructor’s ability to utilize course-appropriate technology to support participant learning?
11:35 am Break Out B-2 by Dana Canfield, MD - Bridging the Chasm: Using Current Evidence to Reduce Birth Trauma, Empower Laboring Patients, and Improve Postpartum Mental Health’ *
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Course appropriateness to participants’ education, experience, and licensure level?
Relevance to the practice?
Currency and accuracy of the information?
Instructor’s responsiveness to participants?
Instructor’s ability to utilize course-appropriate technology to support participant learning?
1:45 pm Break Out C-1 by Leslie Butterfield, PhD
 -  Birth Trauma Basics: How We Hurt and How We Heal
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Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Course appropriateness to participants’ education, experience, and licensure level?
Relevance to the practice?
Currency and accuracy of the information?
Instructor’s responsiveness to participants?
Instructor’s ability to utilize course-appropriate technology to support participant learning?
1:45 pm Break Out C-2 by Lisa Segre, PhD and Rebecca Chuffo Davila, DNP, NNP-BC - The Implementation of Listening Visits: A Trauma-Responsive Intervention for NICU Parents *
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Course appropriateness to participants’ education, experience, and licensure level?
Relevance to the practice?
Currency and accuracy of the information?
Instructor’s responsiveness to participants?
Instructor’s ability to utilize course-appropriate technology to support participant learning?
2:55 pm Break Out D-1 by Sara Moyer, BS, RN - NEW TOOL "Perinatal Mental Health Screenings Toolkit: EPDS-US and PMH Connect *
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Course appropriateness to participants’ education, experience, and licensure level?
Relevance to the practice?
Currency and accuracy of the information?
Instructor’s responsiveness to participants?
Instructor’s ability to utilize course-appropriate technology to support participant learning?
2:55 pm Break Out D-2 by Hudson Jones, PsyD and Dan Singley, PhD - Fathers, Trauma, and the NICU Experience *
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Course appropriateness to participants’ education, experience, and licensure level?
Relevance to the practice?
Currency and accuracy of the information?
Instructor’s responsiveness to participants?
Instructor’s ability to utilize course-appropriate technology to support participant learning?
Please rate the impact of this activity on the following:  Activity Impact *
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
This activity increased my competency
This activity will improve my performance
This activity will improve patient outcomes

Educational Goals and Learning Objectives: Based on the content of this activity, I am able to

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Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Educational goal #1
Educational goal #2
Learning objective #1 (SMART)
Learning objective #2 (SMART)
Learning objective #3 (SMART)
Overall learning objectives were met
Course Content/Learner Experience: 
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Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Content was appropriate for my education and training level
Information provided is relevant and can be applied to my practice
Teaching methods were effective
Instructional materials were useful
Information was current and accurate
Content was free from commercial bias
Issues in cultural and linguistic competency (ie: disparities, differences in prevalence, diagnosis, treatment in diverse populations, or pertinent cultural data) were adequately addressed in this activity.
This course contained content related to understanding implicit bias in treatment.
Instructor(s): *
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Knew the subject matter
Answered questions effectively
Was responsive to questions, comments, and opinions
Utilized course-appropriate technology to support learning
Location, Facility, Technology, Program Administration

*For online/recorded events only

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Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
N/A
Facility was adequate for learning, comfort, and accessibility
Special needs were met
*Questions or problems were addressed effectively and in a timely manner
*Technology contributed to learning
*Course technology was user-friendly

Please summarize professional changes that you intend to make as a result of participating in this activity:

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Please identify any barriers you perceive in implementing these changes (select all that apply):

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How will you address these barriers?

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Comments: Please provide any comments that will assist us in planning future conferences (e.g., offerings that were particularly relevant to your practice, additional topics for inclusion, or other suggestions). *
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