Post Continuing Education Evaluation After completing a Change, Inc. approved, half-cost benefit enacted continuing education opportunity, please complete this form, being sure to upload any relevant handouts, presentations, or other documentation provided during the training. Clinician Name(Required) First Last Clinician Email(Required) Today's Date(Required) MM slash DD slash YYYY Date of Training(Required) MM slash DD slash YYYY Name of Training(Required) Provider Organization(Required) URL for Information About Training(Required) Please list at least 3 concrete praxis-based concepts/skills you learned during this training.(Required)Would you recommend this training to others?(Required) Yes No Please explain.(Required)Did this training have a tiered process (i.e., requiring multiple steps/trainings?)(Required) Yes No If yes, do you intend to take subsequent trainings?(Required) Yes No Please explain.(Required)Did this training end in a certification (e.g., EMDR Certification, Gottman Method Certification, etc.)?(Required) Yes No Was your original intent to achieve certification and something interrupted that, or is there another reason you did not obtain a certification (e.g., approved training without certification)?What Certification did you receive?(Required) Have you uploaded any relevant handouts, presentations, or other documentation to Google Drive?(Required) Yes No Google Drive LinkCAPTCHA Δ