About Autism in Toddlers Webinar Feedback Form

We would greatly appreciate your feedback on our webinar.

Date of Attendance*

Select the date of the Summer Institute you attended. You will need to fill out a new feedback form and request a certificate for each day you attend.

Role*

What is your job title? For example, teacher, SLP, family member, agency personnel.

Feedback Survey Questions

Question 1- Increase Knowledge*

To what extent did the training increase your knowledge? 1= Not at all <---------> 6 = Greatly

Select or enter value

Question 2 - Use what you learned*

To what extent will you use what you learned from the training? 1= Never <---------> 6 = Always

Select or enter value

Question 3 - Recommend to others*

To what extent will you recommend the training to others? 1= Never <---------> 6 = Always

Select or enter value

Overall Rating*

What is your overall rating of today's session. 1 = Poor <--------> 6 = Excellent

Select or enter value

Comments

Please share any comments you have.

What Training Topics Would you LIke to See?

Please list any topics you would like to see us provide in the future.

First Name

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Last Name

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Please provide your email address.

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