Name As You Want On Your Certificate*

First NameLast NameCredentials

Email*

example@example.com

Cell Phone Number*

Please enter a valid phone number.

Name Of The Instructor :*

Susan BlumKristin Sanders

Date ( If taking Live/Live-online please put the last date of the seminar.)*

Date

SEMINAR TYPE: LIVE (if taken online for all but MTs), LIVE ONLINE (if taken for MTs)

SEMINAR City, State (OPTIONAL unless taking LIVE at location)

LICENSE NUMBER (S) & STATE(S)

How would you rate this Seminar (1 star - sucks, 5 stars - Awesome)*

1. Your overall satisfaction with the course ? (1-5)

2. Current Level Of confidence you have of TMR TOTS?

3. Ability you have to begin introducing TMR Tots on Monday?

5. The information received was useful and beneficial -*

Strongly AgreeAgreeDisagreeStrongly Disagree

6. The program met the stated learning objectives - *

Strongly AgreeAgreeDisagreeStrongly Disagree

8. The program faculty was responsive to questions/comments - *

Strongly AgreeAgreeDisagreeStrongly Disagree

9. The educational materials(manuals, handouts, forms) were useful - *

Strongly AgreeAgreeDisagreeStrongly Disagree

10. The learning assessment (surveys, forms, quiz etc) was appropriate - *

Strongly AgreeAgreeDisagreeStrongly Disagree

11. What did you like the most about this program ? *

12. What did you like the least about this program ? *

13. Did you feel that there was commercial bias or influence in this activity ?*

YesNo

If the above answer is Yes, please explain -

14. Identify topics you would like to have presented at future meetings - *

15. Registration Process -*

ExcellentGoodFairPoor

16. Program Faculty - *

ExcellentGoodFairPoor

17. Location -*

ExcellentGoodFairPoor

18. Was the program Faculty knowledgeable regarding the content of their presentation ?*

YesNo

19. Was the program Faculty Relevant regarding the content of their presentation ?*

YesNo

20. Was the program Faculty Effective regarding the content of their presentation ?*

YesNo

If you have answered No, to any of the above 3 questions, please explain

21. The presentations met my expectation - *

Strongly AgreeAgreeDisagreeStrongly Disagree

22. The Program Faculty style was appropriate for the materials presented - *

Strongly AgreeAgreeDisagreeStrongly Disagree

23. The Program Faculty was responsive to questions/comments - *

Strongly AgreeAgreeDisagreeStrongly Disagree

24. The Program met my objectives - *

Strongly AgreeAgreeDisagreeStrongly Disagree

25. The Knowledge & Information received is useful and beneficial to me - *

Strongly AgreeAgreeDisagreeStrongly Disagree

General Comments (if any) -

UPLOAD ALL DAY 2 PICTURES OF FORMS

UPLOAD HERE: TAKE PICS OF FORMS ON CAMERA. HIT BROWZE FILES AND THEN GO TO PHOTO GALLERY AND SELECT PICS OF FORMS.*

TOTS LEVEL 3 - Day 2

Evaluation Questions :

Please rate on a scale of 1-5 to the following questions : (1 = Poor, 5 = Excellent)

Rate The Following Components Of This Program

Please rate the following components of this program -

Please rate the following components of this program -

Fill Out Form Below & Upload Your Forms For Each Day PLEASE SCROLL BELOW FOR DAY 2 FORM AND CERTIFICATE

USE THIS LINK ON CELL PHONE: http://tmrtots.com/upload3

TOTS-3 DAY 1 Uploads

Do Not Fill Out This Bottom

Section Until Day 2

TOTS-3 DAY 2 Uploads & Certificate

Fill Out Form Below & Upload Your Forms For Each Day

PLEASE SCROLL BELOW FOR DAY 2 FORM AND CERTIFICATE

USE THIS LINK ON CELL PHONE:
http://tmrtots.com/upload3