| Participant Information |
| All fields in this section are required. |
| 1. Work location? |
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| 2. Job position/role? |
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| 3. Type of organization/work
setting? |
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| 4. Race/ethnicity? |
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| 5. Gender? |
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| 6. What format did you use? |
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| Evaluation |
| All fields in this section are required. |
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7. The course was of overall high quality.
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8. The program moderator was helpful in framing questions and focusing discussion.
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| 9. The presenter, David Shaffer, FRCP, Columbia University and NYS Psychiatric Insittute was knowledgeable. |
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| 10. As a result of my participation in this videoconference,
I am able to Understand the risks of teen depression. |
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| 10b. As a result of my participation in this videoconference,
I am able to Know the signs of depression or self-injurous behavior. |
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| 10c. As a result of my participation in this videoconference, I am able to Identify resources for help and understand the tools of detection, intervention and prevention of self-injury in adolescents. |
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11. The knowledge gained from
this program will help me perform my job more effectively. |
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12. I would recommend this course
for employees in positions similar to mine.
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| Comments |
| All fields in this section are optional. Type
your responses in the boxes provided. |
| 13. What was the most useful or
important thing you learned during this program? |
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| 14. What suggestions do you have
for improving the program? |
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| 15. What other public health topics would you like
to see addressed in
future satellite broadcasts? |
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| Point of View |
| 16. This training was balanced, fair, and free of commercial bias. |
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| Continuing Education Credits |
If you would like to receive continuing
education credits, you must complete the following posttest and application.
Please click the "Continue with Post-test" button. |
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