TechHealth Online CEU Evaluation Form

In order to receive credit for the CEU course just performed, "Traumatic Brian Injury", complete the mandatory evaluation form located below. Once received, your course certificate will be sent to you electronically.

NOTE: Evaluation form must be completed same day as online presentation.

1.877.611.3415
no ALT  
Program Evaluation
Registered Course: Traumatic Brian Injury
Approved Accreditation: RN, ADJ, CCM, CRC & CDMS
Date of Course: November 12, 2008
Location: TechHealth
Name as Licensed
License Type(s): - Nurse     - Adjuster     - CCM     - CRC*     - CDMS*    
  * - Course must be approved for CRC & CDMS credit
Nurse License Number(s)
Adjuster Social Security #
         State(s)
Email:
ReType Email:
Phone #:    Fax #:   
Please rate the program you have just attended.  
POOR    
SATISFACTORY
GOOD
VERY GOOD
EXCELLENT
1.  Did the material presented allow you to meet the course objectives?  
2.    Was the subject matter accurate and current?           
3.  Were the teaching methods utilized effective?               
4.    Did your speaker present the material in an understandable manner?               
5.    Was the program an appropriate educational level?     
6.    Did the speaker use effective time management?      
7.    Please indicate the degree to which the program met your professional educational needs?   

Please Indicate:
·        For future programs, what specific time of day works best for you? :   
·        Do you have any topics of interest for upcoming presentation?
·        Suggestions/Recommendations.

Thank you for the opportunity to offer continuing education to your organization today



CEU Institute
1680 South Central Blvd / Ste 110 / Jupiter, FL 33458
Fax (561) 747-6726
mailto:info@ceuinstitute.net