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.
Name
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First
Last
Email
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Attendance Verification Codes
Day 1
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CODE 1
Day 1
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CODE 2
Day 2
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CODE 1
Day 2
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CODE 2
Day 3
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CODE 1
Day 3
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CODE 2
Day 4
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CODE 1
Day 4
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CODE 2
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):
Topics
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Managing Incapacity
Advanced Directives
Medicaid for Long-term Care
Estate Planning for the Elderly
Public Benefits
Caregiver Support
Death of a Loved One
Comments
Course Objectives
Were the course objectives accomplished? Please rate each objective on a scale 1-5
(1 = not met and 5 = objective accomplished)
Were you able to understand the legal strategies and tools needed to assist your elderly patients and clients?
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5
Comments
Were you able to identify the legal needs of each particular client or patient type and would you be able to direct them to the appropriate resources?
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5
Comments
Instructor
Please rate the instructor on a scale from 1 = poor to 5 = best in terms of presentation skills:
Esther Acosta, Attorney and Counselor at Law
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5
Comments
Materials and Overall Experience
Please rate each area on a scale from 1 = poor to 5 = best:
How would you rate the materials you were given?
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5
Comments
Please rate your overall Boot Camp experience.
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Comments
Exit Questions
What did you find most relevant during this Boot Camp event?
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How would you rate the length of the event?
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Just right
Too long
Too short
How did you learn about this event?
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Direct Mail
A colleague
The Internet
Would you refer a colleague to an upcoming Boot Camp event?
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Yes
No
Would you attend another Boot Camp again?
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Yes
No
Email
This field is for validation purposes and should be left unchanged.
Acosta Law Firm, PLLC
9305 North Lilley Road
Plymouth, MI 48170
(734) 927-5244
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