ACTIVITY EVALUATION FORM FOR CALIFORNIA MCLE 11

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    Provider Name: THE OTHER BAR
    Provider Phone No.: (626) 222-6299
    Provider Address: www.otherbar.org
    Title of Activity: Ed Dilkes Ethics: Hiring Someone in Recovery
    Date of Offering:
    Location: Otherbar.org

    Name of Participant:

    Directions: On a scale of 1-5 (5 being the highest, best or most and 1 being the least, lowest or worst) rate by selecting the number reflecting your opinion.

    To what extent were your personal objectives satisfied?
    54321
    Comments:

    To what extent did the environment contribute to the learning experience?
    54321
    Comments:

    To what extent did the written materials contribute to the learning experience?
    54321
    Comments:

    To what extent were the objectives stated in the promotional literature or those stated at the beginning of the activity satisfied?
    54321
    Comments:

    To what extent did the activity contain significant current intellectual or practical content?
    54321
    Comments:

    Instructor's Name : Ed Dilkes
    Subject/Topic: Ed Dilkes Ethics: Hiring Someone in Recovery

    Overall Teaching Effectiveness
    54321
    Effectiveness of Teaching Methods
    54321
    Intellectual or Practical Content
    54321
    Comments: