Power Differential Assessment

Required Fields *

Name*

Email*

Mailing Address*

City*

State

Zip Code

Country*


Assessment Questions:




1. What new information or understanding did you get from the self-study experience? *


2. Are there any ways in which you take refuge in or advantage of your power role? *


3. Do you tend to over-use or under-use your role power? *


4. What is the 150% equation? *


Feedback




1. Please rate in terms of value: 1 (lowest) …………… 5 (highest)

Professional:  1 2 3 4 5
Personal:  1 2 3 4 5
Reading:  1 2 3 4 5
Self-study:  1 2 3 4 5
Questions:  1 2 3 4 5


2. Please rate from 1 (lowest)……….5 (highest)

What was the degree of ease, if needed, in communicating with me:  1 2 3 4 5
What is the quality of reading materials (ie professional in appearance,
accurate information, free of typos):		  1 2 3 4 5
Was there adequate support for the content questions:  1 2 3 4 5
Were the unit objectives supported by the home study materials:  1 2 3 4 5
Were assignments carried out in a private and secure manner:  1 2 3 4 5
Did the content lend itself to a home study format:  1 2 3 4 5


3. How many hours/minutes did the following pieces take you?

Reading:
Self-study:
Questions:


4. Anything else you’d like to say?


5. Your Helping Profession:


6. Organization Requiring CEUs:


Like you, we don't like spam. Please help us cut down on spam by confirming that you are human, not a spambot. Simply enter the text you see below in the box before clicking on the "Send" button.*
captcha


page bottom effect