APP Single Course Provider CE Survey Sept. 2011-June 2012APP Single Course Provider CE Survey Sept. 2011-June 2012

Thank you for taking the time to complete this brief survey about your learning experiences with an AOTA Approved Single Course Provider of Continuing Education. Your responses help us evaluate the effectiveness of the Approved Provider Program - Single Course Approval and any need for changes to ensure the continued high standards of the program.

LEARNER INFORMATION

1

*Professional Designation:

Professional Designation: Occupational Therapist – AOTA Member

Occupational Therapist – Nonmember

Occupational Therapy Assistant – AOTA Member

Occupational Therapy Assistant – Nonmember

Other, Please Specify

2
*Do you use AOTA’s CE WebFind to search for CE activities?
Do you use AOTA’s CE WebFind to search for CE activities? Yes
No

ORGANIZATION INFORMATION

3
*Please provide the name of the organization that offered the CE activity.
Please provide the name of the organization that offered the CE activity.

4
*Please provide the title of the CE activity you took from this organization.
Please provide the title of the CE activity you took from this organization.

5
*Please provide the start date for this CE activity.
MM DD YYYY HH MM AM/PM
Date
Please provide the start date for this CE activity. Date Month
/
Day
/
Year

Hour
:
Minute
AM or PM

6
Have you taken a CE activity from this organization in the past?
Have you taken a CE activity from this organization in the past? Yes
No

7
What is your OVERALL satisfaction with this organization as a CE provider?
Not Satisfied Somewhat Satisfied Neutral Satisfied Very Satisfied
*What is your OVERALL satisfaction with this organization as a CE provider? Not Satisfied
Somewhat Satisfied
Neutral
Satisfied
Very Satisfied

8
Would you recommend this CE organization to others?
Would you recommend this CE organization to others? Yes
No

9
Did the CE provider make their policies about cancellation by the learner and provider clear to you?
Did the CE provider make their policies about cancellation by the learner and provider clear to you? Yes
No

10
Did you receive a certificate or other documentation that clearly communicated the credit you received?
Did you receive a certificate or other documentation that clearly communicated the credit you received? Yes
No

CE ACTIVITY INFORMATION

11
Please indicate the educational level of the CE activity:
Please indicate the educational level of the CE activity: Introductory
Advanced
Intermediate

12
Did you agree with the educational level of the course as it was advertised?
Did you agree with the educational level of the course as it was advertised? Yes
No

13
If no, was it advertised as:
If no, was it advertised as: Too high
Too low

14
Did the CE activity meet your expectations?
Not Satisfied Somewhat Satisfied Neutral Satisfied Very Satisfied
*Did the CE activity meet your expectations? Not Satisfied
Somewhat Satisfied
Neutral
Satisfied
Very Satisfied

15
Did the CE activity fulfill your professional development goals?
Not Satisfied Somewhat Satisfied Neutral Satisfied Very Satisfied
*Did the CE activity fulfill your professional development goals? Not Satisfied
Somewhat Satisfied
Neutral
Satisfied
Very Satisfied

16
Having completed the CE activity, do you feel the learning objectives were met?
Not Satisfied Somewhat Satisfied Neutral Satisfied Very Satisfied
*Having completed the CE activity, do you feel the learning objectives were met? Not Satisfied
Somewhat Satisfied
Neutral
Satisfied
Very Satisfied

17
Was the instructor competent in the content area?
Not Satisfied Somewhat Satisfied Neutral Satisfied Very Satisfied
*Was the instructor competent in the content area? Not Satisfied
Somewhat Satisfied
Neutral
Satisfied
Very Satisfied

18
Were you notified of satisfactory completion requirements (e.g., attendance, exam, etc.) prior to participating in this CE activity?
Were you notified of satisfactory completion requirements (e.g., attendance, exam, etc.) prior to participating in this CE activity? Yes
No

19
Were you notified of prerequisites, educational level, and target audience prior to this CE activity?
Were you notified of prerequisites, educational level, and target audience prior to this CE activity? Yes
No

20
Were you informed of intended learning outcomes/objectives?
Were you informed of intended learning outcomes/objectives? Yes
No

21
If Yes, were they clearly stated?
If Yes, were they clearly stated? Yes
No

22
Did you receive feedback, (such as a question/answer period or results of testing) during and/or after the CE activity?
Did you receive feedback, (such as a question/answer period or results of testing) during and/or after the CE activity? Yes
No

23
Would you recommend this CE activity to others?
Would you recommend this CE activity to others? Yes
No

24
When you registered for this CE activity, were you aware that this course was approved by AOTA's Approved Provider Program?
When you registered for this CE activity, were you aware that this course was approved by AOTA's Approved Provider Program? Yes
No

25
If yes, how did this course being approved by AOTA's Approved Provider Program influence your decision to register? Please select one answer.
If yes, how did this course being approved by AOTA's Approved Provider Program influence your decision to register? Please select one answer. I only take CE activities that are offered by AOTA Approved Providers or Approved Single Course Providers.
I prefer to take CE activities from AOTA Approved Providers or Approved Single Course Providers.
Being an AOTA Approved Single Course Provider did not influence my decision.
Other, Please Specify

26
How important are the following in determining which CE activities you take?
Not Important Somewhat Important Neutral Important Very Important
Approved by the AOTA Approved Provider Program
*How important are the following in determining which CE activities you take? Approved by the AOTA Approved Provider Program Not Important
Approved by the AOTA Approved Provider Program Somewhat Important
Approved by the AOTA Approved Provider Program Neutral
Approved by the AOTA Approved Provider Program Important
Approved by the AOTA Approved Provider Program Very Important
Reputation of the instructor
Reputation of the instructor Not Important
Reputation of the instructor Somewhat Important
Reputation of the instructor Neutral
Reputation of the instructor Important
Reputation of the instructor Very Important
Cost of the CE activity
Cost of the CE activity Not Important
Cost of the CE activity Somewhat Important
Cost of the CE activity Neutral
Cost of the CE activity Important
Cost of the CE activity Very Important
Location of the CE activity
Location of the CE activity Not Important
Location of the CE activity Somewhat Important
Location of the CE activity Neutral
Location of the CE activity Important
Location of the CE activity Very Important
State regulatory approval of the CE activity
State regulatory approval of the CE activity Not Important
State regulatory approval of the CE activity Somewhat Important
State regulatory approval of the CE activity Neutral
State regulatory approval of the CE activity Important
State regulatory approval of the CE activity Very Important

SUMMARY

27
Please rate your level of OVERALL SATISFACTION with each of the following.
Not Satisfied Somewhat Satisfied Neutral Satisfied Very Satisfied
Value for the price
*Please rate your level of OVERALL SATISFACTION with each of the following. Value for the price Not Satisfied
Value for the price Somewhat Satisfied
Value for the price Neutral
Value for the price Satisfied
Value for the price Very Satisfied
Quality of content material
Quality of content material Not Satisfied
Quality of content material Somewhat Satisfied
Quality of content material Neutral
Quality of content material Satisfied
Quality of content material Very Satisfied
Quality of presentation
Quality of presentation Not Satisfied
Quality of presentation Somewhat Satisfied
Quality of presentation Neutral
Quality of presentation Satisfied
Quality of presentation Very Satisfied
Ease of registration
Ease of registration Not Satisfied
Ease of registration Somewhat Satisfied
Ease of registration Neutral
Ease of registration Satisfied
Ease of registration Very Satisfied
Timely confirmation after registration for CE activity
Timely confirmation after registration for CE activity Not Satisfied
Timely confirmation after registration for CE activity Somewhat Satisfied
Timely confirmation after registration for CE activity Neutral
Timely confirmation after registration for CE activity Satisfied
Timely confirmation after registration for CE activity Very Satisfied

28
Please provide the OPTIONAL information. This information will be used to contact you as a part of the AOTA Approved Provider Program's Single Course Approval quarterly drawing for a prize.
Please provide the OPTIONAL information. This information will be used to contact you as a part of the AOTA Approved Provider Program's Single Course Approval quarterly drawing for a prize. Name
Address
City
State
Phone
E-mail

If you have other comments that you would like to share about this CE activity or this CE provider, please e-mail APP@aota.org. In the message please identify the provider, CE activity, date, and any other identifying information you wish to share. Thank you.