21 ONE Conf – General Session 1 – Add On CEs

2021 ONE Conference (Session #1) Evaluation:
Thank you for your time. This survey will only take you a FEW minutes to complete. Please note, that each individual requesting a Continuing Education Certificate must complete a separate evaluation form.
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Title of Conference*
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Module:
Can put the company's name if applicable. Will appear below the title of the webinar on the CE certificate. Must remove sample name.
Evaluate the Presentation Style and Content --*
Dr. Jamie Jones
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The instructor’s ability to explain was
The pace of the material presented was
The content was clear and easy to follow
The content was presented without commercial bias

Evaluation of Objectives -- Rate how well the presentation met the following learning objectives.*

NICU as Ashram: Soul Surgery

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Describe at least two strategies to bring balance between the scientific and spiritual aspects of our profession
Discuss one skills that we can use to increase our conscious awareness to the psychological and spiritual challenges we face with patients, colleagues, and the institutions in which we work
Describe how illness can be transformed into an opportunity for growth
Draft a vision of caregiving so rewarding that it informs our personal healing and sustains our vocational journey

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Continuing Education & Certificate Information
Complete the information below to receive a certificate of Participation & Continuing Education. By entering your information below, you certify that you have personally watched the complete conference presentations for a total of 3 hours or more, that you are entering this information after doing so, and that you are submitting this form only for yourself.
Name*
First Last
Job Title/Credentials
Please provide your State License # (this will appear on the CE Certificate)
Enter any other comments here. Thank you for your time!

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Billing Name*
First Last
Email*
Your PDF Certificate will also be sent to this email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card*
Card Details
Cardholder Name
Add On CEs
Total
$0.00
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Course Code Prefix*

These numbers will show BEFORE the course code on the template.
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Template Color - be sure to match to the company color*

(Don't forget the #)
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Number of Units Earned*

(Example: 1 hour, 3 hours, 10 magic beans -- be sure to add the measurement)

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2021 Virtual ONE Conference

	Excellent	Very Good	Good	Fair	Poor
The instructor’s ability to explain was
The pace of the material presented was
The content was clear and easy to follow
The content was presented without commercial bias

	Excellent	Very Good	Good	Fair	Poor
The instructor’s ability to explain was
The pace of the material presented was
The content was clear and easy to follow
The content was presented without commercial bias

	Excellent	Very Good	Good	Fair	Poor
Define neonatal toxic stress
Explore the use of a trauma-informed care approach in the NICU
Explore the impact of neonatal toxic stress on short- and long- term outcomes

	Excellent	Very Good	Good	Fair	Poor
The instructor’s ability to explain was
The pace of the material presented was
The content was clear and easy to follow
The content was presented without commercial bias