CE Course Evaluation Needs Assessment Form

DDS Joint Board Leadership Session Evaluation Form

Date: Saturday, March 12, 2022
Course Titles: “Courageous Conversations” and “Bias Interrupted”
Speakers: Katherine Eitel Belt, CSP & Seema Bhansali

Name

First

Last

Please indicate the extent of speaker Ms. Eitel Belt, meeting the achieved course objective(s).

Objective 1 - 3 steps to enhancing a leadership mindset

Objective 2 - 4-part courageous conversation framework

Objective 3 - How to lead and coach others to unlock their potential and create alignment and accountability

Please indicate the extent of speaker Ms. Bhansali, meeting the achieved course objective(s).

Objective 1 - Learn the root causes of bias (yes, sadly even yours) and explore different types of biases.

Objective 2 - Develop the skills for interrupting your own bias in the moment.

Objective 3 - Understand the impact of bias perpetrated against you and how and when to pivot.

Please rate overall session “Courageous Conversations”.

The presentation was informative and educational

The presentation was useful

There was sufficient time for discussion/questions

I anticipate changes in the way I practice because of this session

This presentation met my expectations

Please rate overall session “Bias Interrupted”.

The presentation was informative and educational

The presentation was useful

There was sufficient time for discussion/questions

I anticipate changes in the way I practice because of this session

This presentation met my expectations

Please rate the speaker, Katherine Eitel Belt

Quality of instruction and teaching ability

Quality of visual materials

Expertise and level of knowledge

Please rate the speaker, Seema Bhansali

Quality of instruction and teaching ability

Quality of visual materials

Expertise and level of knowledge

Please list any topics you would be interested in at future sessions:

If you are human, leave this field blank.