Social Worker Boot Camp Evaluation Form

Name of Course:

Enhance Your Career With Elder Law Boot Camp Webinar For Social Workers

Date:

April 7, 2021 • April 14, 2021
April 21, 2021 • April 28, 2021

NAME OF INSTRUCTOR:

Esther Acosta, Attorney and
Counselor at Law

Thank You for Attending the Social Worker Boot Camp

Please complete and submit the evaluation form below in order to receive your 7 continuing education credits.


  • Attendance Verification Codes

  • CODE 1
  • CODE 2
  • CODE 1
  • CODE 2
  • CODE 1
  • CODE 2
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  • Topics

    Please rate each topic on a scale from 1-5 in terms of relevance and practical application:
    (1 = least relevant and practical and 5 = most relevant and practical):
  • 12345
    Managing Incapacity
    Advanced Directives
    Medicaid for Long-term Care
    Estate Planning for the Elderly
    Public Benefits
    Caregiver Support
    Death of a Loved One
  • Course Objectives

    Were the course objectives accomplished? Please rate each objective on a scale 1-5
    (1 = not met and 5 = objective accomplished)
  • 12345
  • 12345
  • Instructor

    Please rate the instructor on a scale from 1 = poor to 5 = best in terms of presentation skills:
  • 12345
  • Materials and Overall Experience

    Please rate each area on a scale from 1 = poor to 5 = best:
  • 12345
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  • Exit Questions

  • This field is for validation purposes and should be left unchanged.

Acosta Law Firm, PLLC

9305 North Lilley Road
Plymouth, MI 48170