Evaluation Form: Motivational Interviewing with Adolescents and Young Adults Who Have Sexually Abused Evaluation – Motivational Interviewing with Adolescents and Young Adults Who Have Sexually Abused Training Name: Motivational Interviewing with Adolescents and Young Adults Who Have Sexually Abused Date: May 25, 2023 Learning Objectives As a result of this training, participants will be able to: 1) Identify the four components that make up the “MI Spirit.” 2) Demonstrate the four motivational interviewing micro-skills with adolescents and young adults who have sexually abused. 3) Describe the four processes that make up MI. 4) Implement skills at eliciting “change talk” with adolescents and young adults who have sexually abused. Email * Last Name (as you’d like printed on your certificate) * First Name (as you’d like printed on your certificate) * License Number, if applicable (for identity verification purposes) Issuing state/province, if applicable Which of the following best describes you? * Select One PsychologistSocial WorkerCounselorStudentNone of the above I certify that I am the above-named person completing this form and that the information I submit here is accurate. * I agree 1. How much did you learn as a result of this program? 5 = Very much, 1 = Very little * 5 4 3 2 1 2. Rate the quality of the program content 5 = Very High, 1 = Very Low * 5 4 3 2 1 3. Rate how current/relevant the program content is 5 = Very High, 1 = Very Low * 5 4 3 2 1 4. How useful was the content of this program for your practice or other professional development? 5 = Extremely Useful, 1 = Not Useful at all * 5 4 3 2 1 5. Rate the instructor’s knowledge and expertise of the subject 5 = Very High, 1 = Very Low * 5 4 3 2 1 6. Rate the instructor’s teaching ability 5 = Very High, 1 = Very Low * 5 4 3 2 1 7.1. Would you agree that learning objective #1 was met? Learning Objective #1: “Identify the four components that make up the “MI Spirit.”” 5 = Strongly agree, 1 = Strongly disagree * 5 4 3 2 1 7.2. Would you agree that learning objective #2 was met? Learning Objective #2: “Demonstrate the four motivational interviewing micro-skills with adolescents and young adults who have sexually abused.” 5 = Strongly agree, 1 = Strongly disagree * 5 4 3 2 1 7.3. Would you agree that learning objective #3 was met? Learning Objective #3: “Describe the four processes that make up MI.” 5 = Strongly agree, 1 = Strongly disagree * 5 4 3 2 1 7.4. Would you agree that learning objective #4 was met? Learning Objective #4: “Implement skills at eliciting “change talk” with adolescents and young adults who have sexually abused.” 5 = Strongly agree, 1 = Strongly disagree * 5 4 3 2 1 8. Rate how well the program met your expectations (according to the promotional materials) 5 = Very well, 1 = Not well at all * 5 4 3 2 1 9. Rate the quality of the provided course materials 5 = Very High, 1 = Very Low * 5 4 3 2 1 10. Rate the quality of the facilities (in-person) or technology (online). 5 = Very High, 1 = Very Low * 5 4 3 2 1 11. Rate how well disability accommodations were met, if requested. 5 = Very High, 1 = Very Low * 5 4 3 2 1 N/A 12. Rate the ease of the registration process 5 = Very Easy, 1 = Very Difficult * 5 4 3 2 1 13. Rate the instructor(s) responsiveness to questions 5 = Very High, 1 = Very Low * 5 4 3 2 1 14. Rate the program staff’s responsiveness to questions 5 = Very High, 1 = Very Low * 5 4 3 2 1 15. How will the information from this program be useful to you in the future? * 16. What did the program (or presenter/s) do particularly well that helped you understand the material? * 17. What, if anything, could the program (or presenter/s) have done differently to help you understand the material better? * 18. About how long did it take you to complete this course (including completing this form)? * 19. OPTIONAL: How did you learn about this training? 20. OPTIONAL: Do you have any additional thoughts or comments you’d like to share with us? For example, did you enjoy the breakout room aspect of this training? If you are human, leave this field blank. Submit Δ