VPS Summary Evaluation Form

Please submit this form following the Meeting.

Virginia Psychoanalytic Society
Name*
First Last
Email*
Title of Program*
Location (City)*
State*
Date*
MM slash DD slash YYYY
Instructor*
Evaluation Assessment Area
Average Score (1 - 5, with 1 Strongly Disagree)
1. How would you rate this session’s success in meeting its educational objective to: Objective #1*
2. The above objective will result in an increase in my professional competence.*
3. How would you rate this session’s success in meeting its educational objective to: Objective #2*
4. The above objective will result in an increase in my professional competence.*
5. The content of this session matched stated educational objectives.*
6. The Chair/Co-Chairs ability in leading the group was*
7. The Instructor’s (Presenter’s) level of knowledge and expertise was*
8. Please rate the quality of instruction and teaching ability demonstrated in this session.*
9. Usefulness of the program content for meeting each of the program’s stated educational objectives*
10. This session was relevant to my work.*
11. Adequacy of physical facilities.*
12. How can this session be improved to better impact competence, performance and/or patient outcomes?
Additional Comments:

Virginia Psychoanalytic Society