Student Evaluation Form

Bob Bennett, MD,CGP,FAPA · Melissa Black, PhD,CGP
Dale C. Godby, PhD,CGP,ABPP · Myrna Little, PhD,CGP
Scott Nelson, PhD, CGP

6330 LBJ Fwy, Suite 150, Dallas, TX 75240
972-392-4155

STUDENT EVALUATION FORM

Group Psychotherapy UTSWMC

Instructor: ___________________________

Your instructor will present at the beginning and close of the session the educational objectives for this event. List briefly the most valuable items of “learning you acquired.

Item 1___________________________

Item 2___________________________

Item 3___________________________

In reviewing the stated goals of this session, and in considering the nature of what you learned, please respond to each of the following statement by circling one number on the five-point scale that best reflects your opinion.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
This session was relevant to the course objectives.	1	2	3	4	5
The stated educational objectives for this session were fulfilled.	1	2	3	4	5
The format for this presentation was effective.	1	2	3	4	5
The knowledge I gained from this class will add to my clinical practice or professional work.	1	2	3	4	5
Class interaction enhanced the session.	1	2	3	4	5
The level of the material was appropriate.	1	2	3	4	5
I’d recommend this class to colleagues.	1	2	3	4	5
The instructor was skillful and effective.	1	2	3	4	5
List any outstanding features.
List any aspects that need improvement.
Comments (especially if you rated any items lower than 3) use back of this form. Daily Class Evaluation Log What’s the most evocative statement you’ve heard today? What is the most important point that’s been made today? What question would you most like to have answered regarding the topic today? What do you know or can you do as a result of participating in this discussion that you didn’t know or couldn’t do last week?

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