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Brainspotting Phase 1 Santa Fe
Name
First Name
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Last Name
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Date of Training
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E-mail Address
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1. Identify Your Profession
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Professional Counselor
Social Worker
Psychiatrist
Psychiatric Nurse
Other (please specify)
please specify
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2. How many years of experience do you have in your profession?
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0-1
2-3
4+
3. The learning objectives were fully addressed.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
4. After attending this program, I am able to summarize the standards of care and professional practice of the International Brainspotting Association.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
5. After attending this program, I am able to describe the hypothesized neurological underpinnings of how brainspotting works.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
6. After attending this program, I am able to summarize the research that supports the hypothesized way in which eye positions activate and accesses midbrain activity.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
7. After attending this program, I am able to explain the uncertainty principle as it relates to brainspotting.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
8. After attending this program, I am able to describe the concepts of simultaneous neurobiological and relational attunement.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
9. After attending this program, I am able to explain the importance of client-therapist attunement during brainspotting.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
10. After attending this program, I am able to explain how the treatment frame is set and held by the therapist.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
11. After attending this program, I am able to explain the role of focused mindfulness in brainspotting.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
12. After attending this program, I am able to discuss the similarities and differences between the activation and resource models of brainspotting.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
13. After attending this program, I am able to explain the concept of limbic countertransference.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
14. After attending this program, I am able to demonstrate a basic mastery of the use of the outside window brainspotting technique.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
15. After attending this program, I am able to demonstrate a basic mastery of the use of the inside window brainspotting technique.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
16. After attending this program, I am able to demonstrate a basic mastery of the use of the gaze spot brainspotting technique.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
17. After attending this program, I am able to demonstrate a basic mastery of the use of the resource model of brainspotting technique.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
18. After attending this program, I am able to assess the appropriate brainspotting techniques for the treatment of Post-traumatic stress disorder, including the Dissociative Subtype, and other trauma-related symptoms.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
19. After attending this program, I am able to describe two challenges to assessing and providing evidence-based treatment to individuals with Complex PTSD.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
20. The course content met my expectations.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
21. The content of this program was useful for my practice or other professional development.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
22. The course content was current.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
23. Instructional materials were suitable and useful.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
24. My request for accessibility accommodations were met satisfactorily, if applicable.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
25. Course registration was user friendly.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
26. Program administration questions or concerns were addressed to my satisfaction.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
27. The instructors/authors presented the course content effectively.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
28. The instructors were responsive to participants.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
29. Course technology was user-friendly.
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Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
30. The total length of time to complete the 21 hour course (hours and minutes) REQUIRES WRITTEN RESPONSE.
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31. Please provide any additional comments you may have regarding this course. If there are no comments write none.
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33. If you would like to give a testimonial about the training, please comment below followed by initials.
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