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Name *
E-mail Address *
Type of Program You Completed *
Watched On-Line Live Event Video from Amy's site Completed On-Line Video Course with Modules Attended Live On-Line Webinar Watched Recording of Live On-Line Webinar
Course Evaluation for (select one) *
Personal Viewing 2.7 Contact Hours for RN, LPN, LMHT 2 Contact Hours for Social Worker 2 CEs for Psychologist/APA Sponsored Program 2 CEs for NCBTMB 2 CPUs or CEUs for Therapeutic Musicians
Graduate/Student of which Therapeutic Musician Certification Program?
Street Address (for contact hours)
City, State, Zip (for contact hours)
Phone (for Contact Hours)
How well did the Presenter achieve the objective of this activity to help you identify the difference between sympathetic resonance, forced resonance, and entrainment? *
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
How well did the Presenter achieve the objective of this activity to help you determine how one's energetic presence affects those around them? *
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Agree
How well did the Presenter achieve the objective of this activity to help you define "Conscious Self-Care" as any intentional choice that supports one's physical, emotional, mental, spiritual, and/or creative well-being? *
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Agree
How well did the Presenter achieve the objective of this activity to help you evaluate different conscious self-care options such as breathing and simple meditation techniques, music, and essential oils that fit into one's daily routine? *
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Agree
How well did the Presenter achieve the objective of this activity to help you integrate the use of daily conscious self-care options in one's personal and professional lives *
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Agree
How well did the Presenter achieve the goal of this activity to provide information related to Conscious Self-Care? *
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Agree
The Presenter was an expert in Conscious Self-Care *
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Agree
The effectiveness of teaching strategies were supportive to the program *
Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Agree
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