Baker Act & Marchman Act Evaluation - September 12, 2019

Please score your agreement with or assessment of the following questions and statements by rating on a scale of 1 to 5, with 5 representing the highest level of satisfaction or agreement. *

Scoring Key: 5=Strongly Agree 4= Somewhat agree 3=Neither agree nor disagree 2= Somewhat disagree 1=Strongly disagree NA=Not applicable

	5	4	3	2	1	NA
The skills learned in this CME course enhanced my professional competence.	The skills learned in this CME course enhanced my professional competence. - 5	The skills learned in this CME course enhanced my professional competence. - 4	The skills learned in this CME course enhanced my professional competence. - 3	The skills learned in this CME course enhanced my professional competence. - 2	The skills learned in this CME course enhanced my professional competence. - 1	The skills learned in this CME course enhanced my professional competence. - NA
The skills learned in this CME course will be applied in the treatment of my patients	The skills learned in this CME course will be applied in the treatment of my patients - 5	The skills learned in this CME course will be applied in the treatment of my patients - 4	The skills learned in this CME course will be applied in the treatment of my patients - 3	The skills learned in this CME course will be applied in the treatment of my patients - 2	The skills learned in this CME course will be applied in the treatment of my patients - 1	The skills learned in this CME course will be applied in the treatment of my patients - NA

As a result of attending this conference, to what extent do you agree that you will be better able to: (rate the objectives) *

Scoring Key: 5=Strongly Agree 4= Somewhat agree 3=Neither agree nor disagree 2= Somewhat disagree 1=Strongly disagree NA=Not applicable

	5	4	3	2	1	N/A
Implement the Baker Act voluntary and involuntary examination criteria.	Implement the Baker Act voluntary and involuntary examination criteria. - 5	Implement the Baker Act voluntary and involuntary examination criteria. - 4	Implement the Baker Act voluntary and involuntary examination criteria. - 3	Implement the Baker Act voluntary and involuntary examination criteria. - 2	Implement the Baker Act voluntary and involuntary examination criteria. - 1	Implement the Baker Act voluntary and involuntary examination criteria. - N/A
Identify which patients are legally eligible to consent to admission and treatment.	Identify which patients are legally eligible to consent to admission and treatment. - 5	Identify which patients are legally eligible to consent to admission and treatment. - 4	Identify which patients are legally eligible to consent to admission and treatment. - 3	Identify which patients are legally eligible to consent to admission and treatment. - 2	Identify which patients are legally eligible to consent to admission and treatment. - 1	Identify which patients are legally eligible to consent to admission and treatment. - N/A
Discuss requirements under the Florida Mental Health Act including appropriate admission and discharge in compliance with the law.	Discuss requirements under the Florida Mental Health Act including appropriate admission and discharge in compliance with the law. - 5	Discuss requirements under the Florida Mental Health Act including appropriate admission and discharge in compliance with the law. - 4	Discuss requirements under the Florida Mental Health Act including appropriate admission and discharge in compliance with the law. - 3	Discuss requirements under the Florida Mental Health Act including appropriate admission and discharge in compliance with the law. - 2	Discuss requirements under the Florida Mental Health Act including appropriate admission and discharge in compliance with the law. - 1	Discuss requirements under the Florida Mental Health Act including appropriate admission and discharge in compliance with the law. - N/A
Implement the criteria for involuntary admission of persons under Florida’s Marchman Act for substance abuse impairment.	Implement the criteria for involuntary admission of persons under Florida’s Marchman Act for substance abuse impairment. - 5	Implement the criteria for involuntary admission of persons under Florida’s Marchman Act for substance abuse impairment. - 4	Implement the criteria for involuntary admission of persons under Florida’s Marchman Act for substance abuse impairment. - 3	Implement the criteria for involuntary admission of persons under Florida’s Marchman Act for substance abuse impairment. - 2	Implement the criteria for involuntary admission of persons under Florida’s Marchman Act for substance abuse impairment. - 1	Implement the criteria for involuntary admission of persons under Florida’s Marchman Act for substance abuse impairment. - N/A
Consistently comply with the federal Emergency Medical Treatment and Active Labor Act (EMTALA) and the Florida Baker Act laws.	Consistently comply with the federal Emergency Medical Treatment and Active Labor Act (EMTALA) and the Florida Baker Act laws. - 5	Consistently comply with the federal Emergency Medical Treatment and Active Labor Act (EMTALA) and the Florida Baker Act laws. - 4	Consistently comply with the federal Emergency Medical Treatment and Active Labor Act (EMTALA) and the Florida Baker Act laws. - 3	Consistently comply with the federal Emergency Medical Treatment and Active Labor Act (EMTALA) and the Florida Baker Act laws. - 2	Consistently comply with the federal Emergency Medical Treatment and Active Labor Act (EMTALA) and the Florida Baker Act laws. - 1	Consistently comply with the federal Emergency Medical Treatment and Active Labor Act (EMTALA) and the Florida Baker Act laws. - N/A

How satisfied or dissatisfied were you with the following conference content? *

Scoring Key: 5=Strongly satisfied 4= Somewhat satisfied 3=Neither satisfied nor dissatisfied 2= Somewhat dissatisfied 1=Strongly dissatisfied

	5	4	3	2	1
Lecture materials.	Lecture materials. - 5	Lecture materials. - 4	Lecture materials. - 3	Lecture materials. - 2	Lecture materials. - 1
Speaker's effectiveness in addressing the learning objectives.	Speaker's effectiveness in addressing the learning objectives. - 5	Speaker's effectiveness in addressing the learning objectives. - 4	Speaker's effectiveness in addressing the learning objectives. - 3	Speaker's effectiveness in addressing the learning objectives. - 2	Speaker's effectiveness in addressing the learning objectives. - 1

How much did you learn as a result of this CE program? *

Scoring Key: 5=Great Deal 4= A Lot 3=Neutral 2=A Little 1=Very Little

	5	4	3	2	1
How much did you learn as a result of this CE program?	How much did you learn as a result of this CE program? - 5	How much did you learn as a result of this CE program? - 4	How much did you learn as a result of this CE program? - 3	How much did you learn as a result of this CE program? - 2	How much did you learn as a result of this CE program? - 1

How useful was the content of this CE program for your practice or other professional development? *

Scoring Key: 5=Extremely Useful 4= Very Useful 3=Moderately Useful 2=Slightly Useful 1=Not at all Useful

	5	4	3	2	1
How useful was the content of this CE program for your practice or other professional development?	How useful was the content of this CE program for your practice or other professional development? - 5	How useful was the content of this CE program for your practice or other professional development? - 4	How useful was the content of this CE program for your practice or other professional development? - 3	How useful was the content of this CE program for your practice or other professional development? - 2	How useful was the content of this CE program for your practice or other professional development? - 1

Was this course fair, balanced and without commercial bias? *

Yes

No

If you checked "No,” please explain why: *

What, if any, new skills/strategies will you apply in your clinical practice? *

If you do not plan to implement any new skills/strategies in your clinical practice, what is keeping you from doing so? *

Please provide any additional comments or suggestions.

Name

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Baker Act & Marchman Act Evaluation - September 12, 2019