2026 Inaugural Conference Evalution

Thank you for attending the Inaugural Meeting and Conference for the Georgia Chapter of AFCC. The evaluation form below is required as past of your continuing education efforts and you completion will help us plan future events. While we request name and email, it is only for continuing education tracking and your responses remain confidential; conference planners do not see your individual responses. If you have questions, please email us at admin@afccga.org.

Name

First

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Required for Credit/Optional otherwise

Email - Only used for tracking; responses are confidential

Professional Designation, e.g. JD, LCSW, PH.D. LMFT, etc.)

Please indicate your level of agreement with the following: After completing SESSION 1-Substance Misuse, Psychological Testing, and Diagnosis in Child Custody Cases: What is Prejudicial and What is Probative?- I am able to:

	1-= Strongly Disagree	2	3	4	5 - Strongly Agree
Describe the basics of substance use disorder and how they inform an accurate reading of drug and alcohol testing results in a custody context.	1-= Strongly DisagreeDescribe the basics of substance use disorder and how they inform an accurate reading of drug and alcohol testing results in a custody context. 1-= Strongly Disagree	2Describe the basics of substance use disorder and how they inform an accurate reading of drug and alcohol testing results in a custody context. 2	3Describe the basics of substance use disorder and how they inform an accurate reading of drug and alcohol testing results in a custody context. 3	4Describe the basics of substance use disorder and how they inform an accurate reading of drug and alcohol testing results in a custody context. 4	5 - Strongly AgreeDescribe the basics of substance use disorder and how they inform an accurate reading of drug and alcohol testing results in a custody context. 5 - Strongly Agree
Distinguish what different testing methods can and cannot reliably indicate about a parent's current functioning and risk to the child.	1-= Strongly DisagreeDistinguish what different testing methods can and cannot reliably indicate about a parent's current functioning and risk to the child. 1-= Strongly Disagree	2Distinguish what different testing methods can and cannot reliably indicate about a parent's current functioning and risk to the child. 2	3Distinguish what different testing methods can and cannot reliably indicate about a parent's current functioning and risk to the child. 3	4Distinguish what different testing methods can and cannot reliably indicate about a parent's current functioning and risk to the child. 4	5 - Strongly AgreeDistinguish what different testing methods can and cannot reliably indicate about a parent's current functioning and risk to the child. 5 - Strongly Agree
Draft child-centered parenting plan provisions -- including monitoring, relapse contingencies, and stepped-access arrangements -- that reflect both safety and the realities of recovery	1-= Strongly DisagreeDraft child-centered parenting plan provisions -- including monitoring, relapse contingencies, and stepped-access arrangements -- that reflect both safety and the realities of recovery 1-= Strongly Disagree	2Draft child-centered parenting plan provisions -- including monitoring, relapse contingencies, and stepped-access arrangements -- that reflect both safety and the realities of recovery 2	3Draft child-centered parenting plan provisions -- including monitoring, relapse contingencies, and stepped-access arrangements -- that reflect both safety and the realities of recovery 3	4Draft child-centered parenting plan provisions -- including monitoring, relapse contingencies, and stepped-access arrangements -- that reflect both safety and the realities of recovery 4	5 - Strongly AgreeDraft child-centered parenting plan provisions -- including monitoring, relapse contingencies, and stepped-access arrangements -- that reflect both safety and the realities of recovery 5 - Strongly Agree

With #1 Rated as POOR and # 5 Rated EXCELLENT please evaluate SESSION 1 Speaker Christy Bradshaw Schmidt, MA, LPC as to:

	1-=Poor	2	3	4	5 - Excellent
Level of Knowledge & expertise	1-=PoorLevel of Knowledge & expertise 1-=Poor	2Level of Knowledge & expertise 2	3Level of Knowledge & expertise 3	4Level of Knowledge & expertise 4	5 - ExcellentLevel of Knowledge & expertise 5 - Excellent
Teaching Ability	1-=PoorTeaching Ability 1-=Poor	2Teaching Ability 2	3Teaching Ability 3	4Teaching Ability 4	5 - ExcellentTeaching Ability 5 - Excellent
Ability to Maintain interest	1-=PoorAbility to Maintain interest 1-=Poor	2Ability to Maintain interest 2	3Ability to Maintain interest 3	4Ability to Maintain interest 4	5 - ExcellentAbility to Maintain interest 5 - Excellent
Responsiveness to questions, comments & opinions	1-=PoorResponsiveness to questions, comments & opinions 1-=Poor	2Responsiveness to questions, comments & opinions 2	3Responsiveness to questions, comments & opinions 3	4Responsiveness to questions, comments & opinions 4	5 - ExcellentResponsiveness to questions, comments & opinions 5 - Excellent

With #1 Rated as POOR and # 5 Rated EXCELLENT please evaluate SESSION 1 Speaker Howard Drutman, Ph.D. as to:

	1-=Poor	2	3	4	5 - Excellent
Level of Knowledge & expertise	1-=PoorLevel of Knowledge & expertise 1-=Poor	2Level of Knowledge & expertise 2	3Level of Knowledge & expertise 3	4Level of Knowledge & expertise 4	5 - ExcellentLevel of Knowledge & expertise 5 - Excellent
Teaching Ability	1-=PoorTeaching Ability 1-=Poor	2Teaching Ability 2	3Teaching Ability 3	4Teaching Ability 4	5 - ExcellentTeaching Ability 5 - Excellent
Ability to Maintain interest	1-=PoorAbility to Maintain interest 1-=Poor	2Ability to Maintain interest 2	3Ability to Maintain interest 3	4Ability to Maintain interest 4	5 - ExcellentAbility to Maintain interest 5 - Excellent
Responsiveness to questions, comments & opinions	1-=PoorResponsiveness to questions, comments & opinions 1-=Poor	2Responsiveness to questions, comments & opinions 2	3Responsiveness to questions, comments & opinions 3	4Responsiveness to questions, comments & opinions 4	5 - ExcellentResponsiveness to questions, comments & opinions 5 - Excellent

Please indicate your level of agreement with the following: After completing SESSION 2 - Aligning Professionals: Theories, Voices, and Roles in Parent-Child Contact Cases- I am able to:

	1-= Strongly Disagree	2	3	4	5 - Strongly Agree
Describe the major theoretical frameworks -- single-factor, dominant-factor, and multifactor models -- used to understand parent-child contact problems.	1-= Strongly DisagreeDescribe the major theoretical frameworks -- single-factor, dominant-factor, and multifactor models -- used to understand parent-child contact problems. 1-= Strongly Disagree	2Describe the major theoretical frameworks -- single-factor, dominant-factor, and multifactor models -- used to understand parent-child contact problems. 2	3Describe the major theoretical frameworks -- single-factor, dominant-factor, and multifactor models -- used to understand parent-child contact problems. 3	4Describe the major theoretical frameworks -- single-factor, dominant-factor, and multifactor models -- used to understand parent-child contact problems. 4	5 - Strongly AgreeDescribe the major theoretical frameworks -- single-factor, dominant-factor, and multifactor models -- used to understand parent-child contact problems. 5 - Strongly Agree
Explain how a child's voice should be weighed and incorporated into PCCP assessment and decision-making.	1-= Strongly DisagreeExplain how a child's voice should be weighed and incorporated into PCCP assessment and decision-making. 1-= Strongly Disagree	2Explain how a child's voice should be weighed and incorporated into PCCP assessment and decision-making. 2	3Explain how a child's voice should be weighed and incorporated into PCCP assessment and decision-making. 3	4Explain how a child's voice should be weighed and incorporated into PCCP assessment and decision-making. 4	5 - Strongly AgreeExplain how a child's voice should be weighed and incorporated into PCCP assessment and decision-making. 5 - Strongly Agree
Apply a practical framework for aligning the roles, ethical duties, and communication strategies of the different professionals involved in a PCCP case to promote child well-being and family stability.	1-= Strongly DisagreeApply a practical framework for aligning the roles, ethical duties, and communication strategies of the different professionals involved in a PCCP case to promote child well-being and family stability. 1-= Strongly Disagree	2Apply a practical framework for aligning the roles, ethical duties, and communication strategies of the different professionals involved in a PCCP case to promote child well-being and family stability. 2	3Apply a practical framework for aligning the roles, ethical duties, and communication strategies of the different professionals involved in a PCCP case to promote child well-being and family stability. 3	4Apply a practical framework for aligning the roles, ethical duties, and communication strategies of the different professionals involved in a PCCP case to promote child well-being and family stability. 4	5 - Strongly AgreeApply a practical framework for aligning the roles, ethical duties, and communication strategies of the different professionals involved in a PCCP case to promote child well-being and family stability. 5 - Strongly Agree

With #1 Rated as POOR and # 5 Rated EXCELLENT please evaluate SESSION 2 Speaker April Harris Britt, Ph.D as to:

	1-=Poor	2	3	4	5 - Excellent
Level of Knowledge & expertise	1-=PoorLevel of Knowledge & expertise 1-=Poor	2Level of Knowledge & expertise 2	3Level of Knowledge & expertise 3	4Level of Knowledge & expertise 4	5 - ExcellentLevel of Knowledge & expertise 5 - Excellent
Teaching Ability	1-=PoorTeaching Ability 1-=Poor	2Teaching Ability 2	3Teaching Ability 3	4Teaching Ability 4	5 - ExcellentTeaching Ability 5 - Excellent
Ability to Maintain interest	1-=PoorAbility to Maintain interest 1-=Poor	2Ability to Maintain interest 2	3Ability to Maintain interest 3	4Ability to Maintain interest 4	5 - ExcellentAbility to Maintain interest 5 - Excellent
Responsiveness to questions, comments & opinions	1-=PoorResponsiveness to questions, comments & opinions 1-=Poor	2Responsiveness to questions, comments & opinions 2	3Responsiveness to questions, comments & opinions 3	4Responsiveness to questions, comments & opinions 4	5 - ExcellentResponsiveness to questions, comments & opinions 5 - Excellent

Please indicate your level of agreement with the following: After completing Session 3 AFCC Practice Guidelines and Resources: What's Available and How to Use Them- I am able to:

	1-= Strongly Disagree	2	3	4	5 - Strongly Agree
Identify the scope and core standards of the Parenting Plan Evaluation Guidelines, Parenting Coordination Guidelines, Court-Involved Therapy Guidelines, and Model Standards for Family and Divorce Mediation.	1-= Strongly DisagreeIdentify the scope and core standards of the Parenting Plan Evaluation Guidelines, Parenting Coordination Guidelines, Court-Involved Therapy Guidelines, and Model Standards for Family and Divorce Mediation. 1-= Strongly Disagree	2Identify the scope and core standards of the Parenting Plan Evaluation Guidelines, Parenting Coordination Guidelines, Court-Involved Therapy Guidelines, and Model Standards for Family and Divorce Mediation. 2	3Identify the scope and core standards of the Parenting Plan Evaluation Guidelines, Parenting Coordination Guidelines, Court-Involved Therapy Guidelines, and Model Standards for Family and Divorce Mediation. 3	4Identify the scope and core standards of the Parenting Plan Evaluation Guidelines, Parenting Coordination Guidelines, Court-Involved Therapy Guidelines, and Model Standards for Family and Divorce Mediation. 4	5 - Strongly AgreeIdentify the scope and core standards of the Parenting Plan Evaluation Guidelines, Parenting Coordination Guidelines, Court-Involved Therapy Guidelines, and Model Standards for Family and Divorce Mediation. 5 - Strongly Agree
Describe how these four guideline sets intersect and where responsibilities shift as a case moves between evaluation, coordination, therapy, and mediation.	1-= Strongly DisagreeDescribe how these four guideline sets intersect and where responsibilities shift as a case moves between evaluation, coordination, therapy, and mediation. 1-= Strongly Disagree	2Describe how these four guideline sets intersect and where responsibilities shift as a case moves between evaluation, coordination, therapy, and mediation. 2	3Describe how these four guideline sets intersect and where responsibilities shift as a case moves between evaluation, coordination, therapy, and mediation. 3	4Describe how these four guideline sets intersect and where responsibilities shift as a case moves between evaluation, coordination, therapy, and mediation. 4	5 - Strongly AgreeDescribe how these four guideline sets intersect and where responsibilities shift as a case moves between evaluation, coordination, therapy, and mediation. 5 - Strongly Agree
Apply the relevant guidelines and Family Court Review resources to their own practice and casework, including staying current on research, report writing, case structuring, and interdisciplinary collaboration.	1-= Strongly DisagreeApply the relevant guidelines and Family Court Review resources to their own practice and casework, including staying current on research, report writing, case structuring, and interdisciplinary collaboration. 1-= Strongly Disagree	2Apply the relevant guidelines and Family Court Review resources to their own practice and casework, including staying current on research, report writing, case structuring, and interdisciplinary collaboration. 2	3Apply the relevant guidelines and Family Court Review resources to their own practice and casework, including staying current on research, report writing, case structuring, and interdisciplinary collaboration. 3	4Apply the relevant guidelines and Family Court Review resources to their own practice and casework, including staying current on research, report writing, case structuring, and interdisciplinary collaboration. 4	5 - Strongly AgreeApply the relevant guidelines and Family Court Review resources to their own practice and casework, including staying current on research, report writing, case structuring, and interdisciplinary collaboration. 5 - Strongly Agree

With #1 Rated as POOR and # 5 Rated EXCELLENT please evaluate SESSION 3 Speaker Amy Holsten, Ph.D. as to:

	1-=Poor	2	3	4	5 - Excellent
Level of Knowledge & expertise	1-=PoorLevel of Knowledge & expertise 1-=Poor	2Level of Knowledge & expertise 2	3Level of Knowledge & expertise 3	4Level of Knowledge & expertise 4	5 - ExcellentLevel of Knowledge & expertise 5 - Excellent
Teaching Ability	1-=PoorTeaching Ability 1-=Poor	2Teaching Ability 2	3Teaching Ability 3	4Teaching Ability 4	5 - ExcellentTeaching Ability 5 - Excellent
Ability to Maintain interest	1-=PoorAbility to Maintain interest 1-=Poor	2Ability to Maintain interest 2	3Ability to Maintain interest 3	4Ability to Maintain interest 4	5 - ExcellentAbility to Maintain interest 5 - Excellent
Responsiveness to questions, comments & opinions	1-=PoorResponsiveness to questions, comments & opinions 1-=Poor	2Responsiveness to questions, comments & opinions 2	3Responsiveness to questions, comments & opinions 3	4Responsiveness to questions, comments & opinions 4	5 - ExcellentResponsiveness to questions, comments & opinions 5 - Excellent

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With #1 Rated as POOR and # 5 Rated EXCELLENT please evaluate SESSION 3 Speaker Daniel Bloom, JD as to:

	1-=Poor	2	3	4	5 - Excellent
Level of Knowledge & expertise	1-=PoorLevel of Knowledge & expertise 1-=Poor	2Level of Knowledge & expertise 2	3Level of Knowledge & expertise 3	4Level of Knowledge & expertise 4	5 - ExcellentLevel of Knowledge & expertise 5 - Excellent
Teaching Ability	1-=PoorTeaching Ability 1-=Poor	2Teaching Ability 2	3Teaching Ability 3	4Teaching Ability 4	5 - ExcellentTeaching Ability 5 - Excellent
Ability to Maintain interest	1-=PoorAbility to Maintain interest 1-=Poor	2Ability to Maintain interest 2	3Ability to Maintain interest 3	4Ability to Maintain interest 4	5 - ExcellentAbility to Maintain interest 5 - Excellent
Responsiveness to questions, comments & opinions	1-=PoorResponsiveness to questions, comments & opinions 1-=Poor	2Responsiveness to questions, comments & opinions 2	3Responsiveness to questions, comments & opinions 3	4Responsiveness to questions, comments & opinions 4	5 - ExcellentResponsiveness to questions, comments & opinions 5 - Excellent

Please indicate your level of agreement with the following: After completing Session 4 Panel Discussion-What Does the Research Actually Say About Shared Parenting?- I am able to:

	1-= Strongly Disagree	2	3	4	5 - Strongly Agree
Identify the methodological differences that account for inconsistent findings across shared parenting studies.	1-= Strongly DisagreeIdentify the methodological differences that account for inconsistent findings across shared parenting studies. 1-= Strongly Disagree	2Identify the methodological differences that account for inconsistent findings across shared parenting studies. 2	3Identify the methodological differences that account for inconsistent findings across shared parenting studies. 3	4Identify the methodological differences that account for inconsistent findings across shared parenting studies. 4	5 - Strongly AgreeIdentify the methodological differences that account for inconsistent findings across shared parenting studies. 5 - Strongly Agree
Describe the family-specific factors research shows are more predictive of child outcomes than the time-split alone.	1-= Strongly DisagreeDescribe the family-specific factors research shows are more predictive of child outcomes than the time-split alone. 1-= Strongly Disagree	2Describe the family-specific factors research shows are more predictive of child outcomes than the time-split alone. 2	3Describe the family-specific factors research shows are more predictive of child outcomes than the time-split alone. 3	4Describe the family-specific factors research shows are more predictive of child outcomes than the time-split alone. 4	5 - Strongly AgreeDescribe the family-specific factors research shows are more predictive of child outcomes than the time-split alone. 5 - Strongly Agree
Apply a research-informed framework for evaluating shared parenting arrangements without relying on blanket presumptions.	1-= Strongly DisagreeApply a research-informed framework for evaluating shared parenting arrangements without relying on blanket presumptions. 1-= Strongly Disagree	2Apply a research-informed framework for evaluating shared parenting arrangements without relying on blanket presumptions. 2	3Apply a research-informed framework for evaluating shared parenting arrangements without relying on blanket presumptions. 3	4Apply a research-informed framework for evaluating shared parenting arrangements without relying on blanket presumptions. 4	5 - Strongly AgreeApply a research-informed framework for evaluating shared parenting arrangements without relying on blanket presumptions. 5 - Strongly Agree

With #1 Rated as POOR and # 5 Rated EXCELLENT please evaluate the Session 4 Panel as to:

	1-=Poor	2	3	4	5 - Excellent
Level of Knowledge & expertise	1-=PoorLevel of Knowledge & expertise 1-=Poor	2Level of Knowledge & expertise 2	3Level of Knowledge & expertise 3	4Level of Knowledge & expertise 4	5 - ExcellentLevel of Knowledge & expertise 5 - Excellent
Teaching Ability	1-=PoorTeaching Ability 1-=Poor	2Teaching Ability 2	3Teaching Ability 3	4Teaching Ability 4	5 - ExcellentTeaching Ability 5 - Excellent
Ability to Maintain interest	1-=PoorAbility to Maintain interest 1-=Poor	2Ability to Maintain interest 2	3Ability to Maintain interest 3	4Ability to Maintain interest 4	5 - ExcellentAbility to Maintain interest 5 - Excellent
Responsiveness to questions, comments & opinions	1-=PoorResponsiveness to questions, comments & opinions 1-=Poor	2Responsiveness to questions, comments & opinions 2	3Responsiveness to questions, comments & opinions 3	4Responsiveness to questions, comments & opinions 4	5 - ExcellentResponsiveness to questions, comments & opinions 5 - Excellent

Please indicate your level of agreement with the following: After completing Session 5 - When Abuse Allegations Arise in Custody Cases - I am able to:

	1-= Strongly Disagree	2	3	4	5 - Strongly Agree
1. Identify the distinct obligations and constraints of GALs, attorneys, parenting plan evaluators, and judges when a child sexual abuse allegation arises during a custody case.	1-= Strongly Disagree1. Identify the distinct obligations and constraints of GALs, attorneys, parenting plan evaluators, and judges when a child sexual abuse allegation arises during a custody case. 1-= Strongly Disagree	21. Identify the distinct obligations and constraints of GALs, attorneys, parenting plan evaluators, and judges when a child sexual abuse allegation arises during a custody case. 2	31. Identify the distinct obligations and constraints of GALs, attorneys, parenting plan evaluators, and judges when a child sexual abuse allegation arises during a custody case. 3	41. Identify the distinct obligations and constraints of GALs, attorneys, parenting plan evaluators, and judges when a child sexual abuse allegation arises during a custody case. 4	5 - Strongly Agree1. Identify the distinct obligations and constraints of GALs, attorneys, parenting plan evaluators, and judges when a child sexual abuse allegation arises during a custody case. 5 - Strongly Agree
2. Describe how a pending custody evaluation is affected -- procedurally and practically -- once an allegation triggers an DFCS investigation.	1-= Strongly Disagree2. Describe how a pending custody evaluation is affected -- procedurally and practically -- once an allegation triggers an DFCS investigation. 1-= Strongly Disagree	22. Describe how a pending custody evaluation is affected -- procedurally and practically -- once an allegation triggers an DFCS investigation. 2	32. Describe how a pending custody evaluation is affected -- procedurally and practically -- once an allegation triggers an DFCS investigation. 3	42. Describe how a pending custody evaluation is affected -- procedurally and practically -- once an allegation triggers an DFCS investigation. 4	5 - Strongly Agree2. Describe how a pending custody evaluation is affected -- procedurally and practically -- once an allegation triggers an DFCS investigation. 5 - Strongly Agree
3. Apply practical guidance for each role to avoid missteps and coordinate effectively as the case moves between the family court and child protection systems	1-= Strongly Disagree3. Apply practical guidance for each role to avoid missteps and coordinate effectively as the case moves between the family court and child protection systems 1-= Strongly Disagree	23. Apply practical guidance for each role to avoid missteps and coordinate effectively as the case moves between the family court and child protection systems 2	33. Apply practical guidance for each role to avoid missteps and coordinate effectively as the case moves between the family court and child protection systems 3	43. Apply practical guidance for each role to avoid missteps and coordinate effectively as the case moves between the family court and child protection systems 4	5 - Strongly Agree3. Apply practical guidance for each role to avoid missteps and coordinate effectively as the case moves between the family court and child protection systems 5 - Strongly Agree

With #1 Rated as POOR and # 5 Rated EXCELLENT please evaluate SESSION 5 Speaker Lawrence Jay Braunstein, JD as to:

	1-=Poor	2	3	4	5 - Excellent
Level of Knowledge & expertise	1-=PoorLevel of Knowledge & expertise 1-=Poor	2Level of Knowledge & expertise 2	3Level of Knowledge & expertise 3	4Level of Knowledge & expertise 4	5 - ExcellentLevel of Knowledge & expertise 5 - Excellent
Teaching Ability	1-=PoorTeaching Ability 1-=Poor	2Teaching Ability 2	3Teaching Ability 3	4Teaching Ability 4	5 - ExcellentTeaching Ability 5 - Excellent
Ability to Maintain interest	1-=PoorAbility to Maintain interest 1-=Poor	2Ability to Maintain interest 2	3Ability to Maintain interest 3	4Ability to Maintain interest 4	5 - ExcellentAbility to Maintain interest 5 - Excellent
Responsiveness to questions, comments & opinions	1-=PoorResponsiveness to questions, comments & opinions 1-=Poor	2Responsiveness to questions, comments & opinions 2	3Responsiveness to questions, comments & opinions 3	4Responsiveness to questions, comments & opinions 4	5 - ExcellentResponsiveness to questions, comments & opinions 5 - Excellent

With #1 Rated as POOR and # 5 Rated EXCELLENT please evaluate SESSION 5 Speaker Dawn R. Smith, JD as to:

	1-=Poor	2	3	4	5 - Excellent
Level of Knowledge & expertise	1-=PoorLevel of Knowledge & expertise 1-=Poor	2Level of Knowledge & expertise 2	3Level of Knowledge & expertise 3	4Level of Knowledge & expertise 4	5 - ExcellentLevel of Knowledge & expertise 5 - Excellent
Teaching Ability	1-=PoorTeaching Ability 1-=Poor	2Teaching Ability 2	3Teaching Ability 3	4Teaching Ability 4	5 - ExcellentTeaching Ability 5 - Excellent
Ability to Maintain interest	1-=PoorAbility to Maintain interest 1-=Poor	2Ability to Maintain interest 2	3Ability to Maintain interest 3	4Ability to Maintain interest 4	5 - ExcellentAbility to Maintain interest 5 - Excellent
Responsiveness to questions, comments & opinions	1-=PoorResponsiveness to questions, comments & opinions 1-=Poor	2Responsiveness to questions, comments & opinions 2	3Responsiveness to questions, comments & opinions 3	4Responsiveness to questions, comments & opinions 4	5 - ExcellentResponsiveness to questions, comments & opinions 5 - Excellent

Please rate the CONFERENCE written/visual materials presented, with #1 being POOR and #5 EXCELLENT (copy)

	1-=Poor	2	3	4	5 - Excellent
The materials were:	1-=PoorThe materials were: 1-=Poor	2The materials were: 2	3The materials were: 3	4The materials were: 4	5 - ExcellentThe materials were: 5 - Excellent

Please provide any comments about any part of the program, and ideas for improvement.

Have ideas for other topics, events, webinars or Chapter Member activities? Let us know here:

By typing my name in the box below, I certify that I did attend the sessions for which this evaluation form applies:

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