Course Evaluation: CCMI Module 3 – Professionalism, Ethics and Self Care

Student Information *

This Course Evaluation form is for healthcare professionals to be awarded continuing education (CE) credit for completing the following course:

CCMI Module 3 – Professionalism, Ethics and Self-Care
25 hours CE Credit – March 2021

3 easy steps:

  1. ATTEND the ONLINE Course.
  2. ANSWER the Questions within this Course Evaluation form.
  3. Select the SUBMIT button after you have completed both sections of the Course Evaluation form.

PLEASE NOTE: This Course Evaluation form will only be available for, and must be completed within, 7 days after the presentation of the Course.

Please complete this Course Evaluation form carefully and completely to insure you receive CE Credit.

This Course Evaluation form is divided into two sections:

1. Student information, and
2. CE Course Evaluation Questions.

After we receive and review the Course Evaluation form, a CE Completion Certificate will be emailed to you, typically within 5 business days.

Section 1: Student Information
Please carefully enter your email address, which we will use to send you the Completion Certificate.
If applicable, please identify professional healthcare license(s) and/or certification(s) that you currently hold, and include the name(s) of the agency or agencies.
If you have earned one or more internationally-awarded credentials from Breining Institute, please select which ones below (select all that apply):

Course Evaluation *

Section 2: CCMI Module 3 Course Evaluation
Please respond to the following questions for CE Credit.
Course Expectations
Did the course cover the content you were expecting?
What topics, if any, would you have liked to see addressed that were not covered?
Course Structure and Content
Rate the relevance of the subject matter presented.
Rate the amount of material presented.
Rate the knowledge of the instructors / presenters in this course.
Overall Experience
Rate the overall value of the information presented in this course.
Based on this experience, would you take another live online course on this subject?
Rate your overall experience of taking this live online course.
Do you have any other comments or suggestions about this course?
How long have you been providing professional AOD/SUD counseling services, or have been in the healthcare profession?
If you are satisfied with your responses, please select the "Submit" button to submit your Course Evaluation. After we review the Course Evaluation, a CE Completion Certificate will be emailed to you, typically within 5 business days. Thank you.
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