How much do you agree with the following statements? *

	Strongly disagree	Disagree	Slightly disagree	Neither	Slightly agree	Agree	Strongly agree
The activity presented balanced, evidence-based content free of commercial bias.	The activity presented balanced, evidence-based content free of commercial bias. - Strongly disagree	The activity presented balanced, evidence-based content free of commercial bias. - Disagree	The activity presented balanced, evidence-based content free of commercial bias. - Slightly disagree	The activity presented balanced, evidence-based content free of commercial bias. - Neither	The activity presented balanced, evidence-based content free of commercial bias. - Slightly agree	The activity presented balanced, evidence-based content free of commercial bias. - Agree	The activity presented balanced, evidence-based content free of commercial bias. - Strongly agree
The presenter(s) used an effective teaching strategy.	The presenter(s) used an effective teaching strategy. - Strongly disagree	The presenter(s) used an effective teaching strategy. - Disagree	The presenter(s) used an effective teaching strategy. - Slightly disagree	The presenter(s) used an effective teaching strategy. - Neither	The presenter(s) used an effective teaching strategy. - Slightly agree	The presenter(s) used an effective teaching strategy. - Agree	The presenter(s) used an effective teaching strategy. - Strongly agree
The presentation slides / digital materials / resources and handouts were high quality.	The presentation slides / digital materials / resources and handouts were high quality. - Strongly disagree	The presentation slides / digital materials / resources and handouts were high quality. - Disagree	The presentation slides / digital materials / resources and handouts were high quality. - Slightly disagree	The presentation slides / digital materials / resources and handouts were high quality. - Neither	The presentation slides / digital materials / resources and handouts were high quality. - Slightly agree	The presentation slides / digital materials / resources and handouts were high quality. - Agree	The presentation slides / digital materials / resources and handouts were high quality. - Strongly agree
The content was relevant to / useful for my professional practice.	The content was relevant to / useful for my professional practice. - Strongly disagree	The content was relevant to / useful for my professional practice. - Disagree	The content was relevant to / useful for my professional practice. - Slightly disagree	The content was relevant to / useful for my professional practice. - Neither	The content was relevant to / useful for my professional practice. - Slightly agree	The content was relevant to / useful for my professional practice. - Agree	The content was relevant to / useful for my professional practice. - Strongly agree
The activity contributed to my knowledge, skills, and capacity to enhance the delivery of patient care.	The activity contributed to my knowledge, skills, and capacity to enhance the delivery of patient care. - Strongly disagree	The activity contributed to my knowledge, skills, and capacity to enhance the delivery of patient care. - Disagree	The activity contributed to my knowledge, skills, and capacity to enhance the delivery of patient care. - Slightly disagree	The activity contributed to my knowledge, skills, and capacity to enhance the delivery of patient care. - Neither	The activity contributed to my knowledge, skills, and capacity to enhance the delivery of patient care. - Slightly agree	The activity contributed to my knowledge, skills, and capacity to enhance the delivery of patient care. - Agree	The activity contributed to my knowledge, skills, and capacity to enhance the delivery of patient care. - Strongly agree
The overall quality of the educational activity was excellent.	The overall quality of the educational activity was excellent. - Strongly disagree	The overall quality of the educational activity was excellent. - Disagree	The overall quality of the educational activity was excellent. - Slightly disagree	The overall quality of the educational activity was excellent. - Neither	The overall quality of the educational activity was excellent. - Slightly agree	The overall quality of the educational activity was excellent. - Agree	The overall quality of the educational activity was excellent. - Strongly agree

The presenter was knowledgeable and presented the information well. *

	Strongly disagree	Disagree	Slightly disagree	Neither	Slightly agree	Agree	Strongly agree
CAPT Aditya Avinash Bhagwat, Ph.D., ABPP-CN. Presenter has no financial or non-financial relationships to disclose.	CAPT Aditya Avinash Bhagwat, Ph.D., ABPP-CN. Presenter has no financial or non-financial relationships to disclose. - Strongly disagree	CAPT Aditya Avinash Bhagwat, Ph.D., ABPP-CN. Presenter has no financial or non-financial relationships to disclose. - Disagree	CAPT Aditya Avinash Bhagwat, Ph.D., ABPP-CN. Presenter has no financial or non-financial relationships to disclose. - Slightly disagree	CAPT Aditya Avinash Bhagwat, Ph.D., ABPP-CN. Presenter has no financial or non-financial relationships to disclose. - Neither	CAPT Aditya Avinash Bhagwat, Ph.D., ABPP-CN. Presenter has no financial or non-financial relationships to disclose. - Slightly agree	CAPT Aditya Avinash Bhagwat, Ph.D., ABPP-CN. Presenter has no financial or non-financial relationships to disclose. - Agree	CAPT Aditya Avinash Bhagwat, Ph.D., ABPP-CN. Presenter has no financial or non-financial relationships to disclose. - Strongly agree
CDR Sara Elizabeth Pulliam, PsyD, ABPP. Presenter has no financial or non-financial relationships to disclose.	CDR Sara Elizabeth Pulliam, PsyD, ABPP. Presenter has no financial or non-financial relationships to disclose. - Strongly disagree	CDR Sara Elizabeth Pulliam, PsyD, ABPP. Presenter has no financial or non-financial relationships to disclose. - Disagree	CDR Sara Elizabeth Pulliam, PsyD, ABPP. Presenter has no financial or non-financial relationships to disclose. - Slightly disagree	CDR Sara Elizabeth Pulliam, PsyD, ABPP. Presenter has no financial or non-financial relationships to disclose. - Neither	CDR Sara Elizabeth Pulliam, PsyD, ABPP. Presenter has no financial or non-financial relationships to disclose. - Slightly agree	CDR Sara Elizabeth Pulliam, PsyD, ABPP. Presenter has no financial or non-financial relationships to disclose. - Agree	CDR Sara Elizabeth Pulliam, PsyD, ABPP. Presenter has no financial or non-financial relationships to disclose. - Strongly agree
Svetlana Kahle, PsyD. Presenter has no financial or non-financial relationships to disclose.	Svetlana Kahle, PsyD. Presenter has no financial or non-financial relationships to disclose. - Strongly disagree	Svetlana Kahle, PsyD. Presenter has no financial or non-financial relationships to disclose. - Disagree	Svetlana Kahle, PsyD. Presenter has no financial or non-financial relationships to disclose. - Slightly disagree	Svetlana Kahle, PsyD. Presenter has no financial or non-financial relationships to disclose. - Neither	Svetlana Kahle, PsyD. Presenter has no financial or non-financial relationships to disclose. - Slightly agree	Svetlana Kahle, PsyD. Presenter has no financial or non-financial relationships to disclose. - Agree	Svetlana Kahle, PsyD. Presenter has no financial or non-financial relationships to disclose. - Strongly agree
Jeffrey T. Reiter, Ph.D., ABPP. Presenter has no financial or non-financial relationships to disclose.	Jeffrey T. Reiter, Ph.D., ABPP. Presenter has no financial or non-financial relationships to disclose. - Strongly disagree	Jeffrey T. Reiter, Ph.D., ABPP. Presenter has no financial or non-financial relationships to disclose. - Disagree	Jeffrey T. Reiter, Ph.D., ABPP. Presenter has no financial or non-financial relationships to disclose. - Slightly disagree	Jeffrey T. Reiter, Ph.D., ABPP. Presenter has no financial or non-financial relationships to disclose. - Neither	Jeffrey T. Reiter, Ph.D., ABPP. Presenter has no financial or non-financial relationships to disclose. - Slightly agree	Jeffrey T. Reiter, Ph.D., ABPP. Presenter has no financial or non-financial relationships to disclose. - Agree	Jeffrey T. Reiter, Ph.D., ABPP. Presenter has no financial or non-financial relationships to disclose. - Strongly agree
Joneis Thomas, Ph.D. Presenter has no financial or non-financial relationships to disclose.	Joneis Thomas, Ph.D. Presenter has no financial or non-financial relationships to disclose. - Strongly disagree	Joneis Thomas, Ph.D. Presenter has no financial or non-financial relationships to disclose. - Disagree	Joneis Thomas, Ph.D. Presenter has no financial or non-financial relationships to disclose. - Slightly disagree	Joneis Thomas, Ph.D. Presenter has no financial or non-financial relationships to disclose. - Neither	Joneis Thomas, Ph.D. Presenter has no financial or non-financial relationships to disclose. - Slightly agree	Joneis Thomas, Ph.D. Presenter has no financial or non-financial relationships to disclose. - Agree	Joneis Thomas, Ph.D. Presenter has no financial or non-financial relationships to disclose. - Strongly agree
Bradford West Applegate, Ph.D. Presenter has no financial or non-financial relationships to disclose.	Bradford West Applegate, Ph.D. Presenter has no financial or non-financial relationships to disclose. - Strongly disagree	Bradford West Applegate, Ph.D. Presenter has no financial or non-financial relationships to disclose. - Disagree	Bradford West Applegate, Ph.D. Presenter has no financial or non-financial relationships to disclose. - Slightly disagree	Bradford West Applegate, Ph.D. Presenter has no financial or non-financial relationships to disclose. - Neither	Bradford West Applegate, Ph.D. Presenter has no financial or non-financial relationships to disclose. - Slightly agree	Bradford West Applegate, Ph.D. Presenter has no financial or non-financial relationships to disclose. - Agree	Bradford West Applegate, Ph.D. Presenter has no financial or non-financial relationships to disclose. - Strongly agree
William A. Satterfield, Ph.D., ABPP. Presenter has no financial or non-financial relationships to disclose.	William A. Satterfield, Ph.D., ABPP. Presenter has no financial or non-financial relationships to disclose. - Strongly disagree	William A. Satterfield, Ph.D., ABPP. Presenter has no financial or non-financial relationships to disclose. - Disagree	William A. Satterfield, Ph.D., ABPP. Presenter has no financial or non-financial relationships to disclose. - Slightly disagree	William A. Satterfield, Ph.D., ABPP. Presenter has no financial or non-financial relationships to disclose. - Neither	William A. Satterfield, Ph.D., ABPP. Presenter has no financial or non-financial relationships to disclose. - Slightly agree	William A. Satterfield, Ph.D., ABPP. Presenter has no financial or non-financial relationships to disclose. - Agree	William A. Satterfield, Ph.D., ABPP. Presenter has no financial or non-financial relationships to disclose. - Strongly agree
Monica L. Cline, Psy.D. Presenter has no financial or non-financial relationships to disclose.	Monica L. Cline, Psy.D. Presenter has no financial or non-financial relationships to disclose. - Strongly disagree	Monica L. Cline, Psy.D. Presenter has no financial or non-financial relationships to disclose. - Disagree	Monica L. Cline, Psy.D. Presenter has no financial or non-financial relationships to disclose. - Slightly disagree	Monica L. Cline, Psy.D. Presenter has no financial or non-financial relationships to disclose. - Neither	Monica L. Cline, Psy.D. Presenter has no financial or non-financial relationships to disclose. - Slightly agree	Monica L. Cline, Psy.D. Presenter has no financial or non-financial relationships to disclose. - Agree	Monica L. Cline, Psy.D. Presenter has no financial or non-financial relationships to disclose. - Strongly agree

The activity successfully achieved its learning objectives by enhancing my ability to: *

	Strongly disagree	Disagree	Slightly disagree	Neither	Slightly agree	Agree	Strongly agree
Describe the key features of the BHC Model (GATHER)	Describe the key features of the BHC Model (GATHER) - Strongly disagree	Describe the key features of the BHC Model (GATHER) - Disagree	Describe the key features of the BHC Model (GATHER) - Slightly disagree	Describe the key features of the BHC Model (GATHER) - Neither	Describe the key features of the BHC Model (GATHER) - Slightly agree	Describe the key features of the BHC Model (GATHER) - Agree	Describe the key features of the BHC Model (GATHER) - Strongly agree
Understand how to score and interpret the required Primary Care Behavioral Health screening measures.	Understand how to score and interpret the required Primary Care Behavioral Health screening measures. - Strongly disagree	Understand how to score and interpret the required Primary Care Behavioral Health screening measures. - Disagree	Understand how to score and interpret the required Primary Care Behavioral Health screening measures. - Slightly disagree	Understand how to score and interpret the required Primary Care Behavioral Health screening measures. - Neither	Understand how to score and interpret the required Primary Care Behavioral Health screening measures. - Slightly agree	Understand how to score and interpret the required Primary Care Behavioral Health screening measures. - Agree	Understand how to score and interpret the required Primary Care Behavioral Health screening measures. - Strongly agree
Describe the five steps in using the “5 A’s” approach to structuring an initial BHC appointment.	Describe the five steps in using the “5 A’s” approach to structuring an initial BHC appointment. - Strongly disagree	Describe the five steps in using the “5 A’s” approach to structuring an initial BHC appointment. - Disagree	Describe the five steps in using the “5 A’s” approach to structuring an initial BHC appointment. - Slightly disagree	Describe the five steps in using the “5 A’s” approach to structuring an initial BHC appointment. - Neither	Describe the five steps in using the “5 A’s” approach to structuring an initial BHC appointment. - Slightly agree	Describe the five steps in using the “5 A’s” approach to structuring an initial BHC appointment. - Agree	Describe the five steps in using the “5 A’s” approach to structuring an initial BHC appointment. - Strongly agree
Outline the components of effective PCM feedback.	Outline the components of effective PCM feedback. - Strongly disagree	Outline the components of effective PCM feedback. - Disagree	Outline the components of effective PCM feedback. - Slightly disagree	Outline the components of effective PCM feedback. - Neither	Outline the components of effective PCM feedback. - Slightly agree	Outline the components of effective PCM feedback. - Agree	Outline the components of effective PCM feedback. - Strongly agree
Identify required components of a follow-up BHC appointment.	Identify required components of a follow-up BHC appointment. - Strongly disagree	Identify required components of a follow-up BHC appointment. - Disagree	Identify required components of a follow-up BHC appointment. - Slightly disagree	Identify required components of a follow-up BHC appointment. - Neither	Identify required components of a follow-up BHC appointment. - Slightly agree	Identify required components of a follow-up BHC appointment. - Agree	Identify required components of a follow-up BHC appointment. - Strongly agree
Differentiate between the specialty behavioral health role versus that of a behavioral health consultant (BHC).	Differentiate between the specialty behavioral health role versus that of a behavioral health consultant (BHC). - Strongly disagree	Differentiate between the specialty behavioral health role versus that of a behavioral health consultant (BHC). - Disagree	Differentiate between the specialty behavioral health role versus that of a behavioral health consultant (BHC). - Slightly disagree	Differentiate between the specialty behavioral health role versus that of a behavioral health consultant (BHC). - Neither	Differentiate between the specialty behavioral health role versus that of a behavioral health consultant (BHC). - Slightly agree	Differentiate between the specialty behavioral health role versus that of a behavioral health consultant (BHC). - Agree	Differentiate between the specialty behavioral health role versus that of a behavioral health consultant (BHC). - Strongly agree
Identify an approach to ethical decision-making in primary care settings.	Identify an approach to ethical decision-making in primary care settings. - Strongly disagree	Identify an approach to ethical decision-making in primary care settings. - Disagree	Identify an approach to ethical decision-making in primary care settings. - Slightly disagree	Identify an approach to ethical decision-making in primary care settings. - Neither	Identify an approach to ethical decision-making in primary care settings. - Slightly agree	Identify an approach to ethical decision-making in primary care settings. - Agree	Identify an approach to ethical decision-making in primary care settings. - Strongly agree
Outline an efficient warm handoff workflow.	Outline an efficient warm handoff workflow. - Strongly disagree	Outline an efficient warm handoff workflow. - Disagree	Outline an efficient warm handoff workflow. - Slightly disagree	Outline an efficient warm handoff workflow. - Neither	Outline an efficient warm handoff workflow. - Slightly agree	Outline an efficient warm handoff workflow. - Agree	Outline an efficient warm handoff workflow. - Strongly agree
Review 3 outcomes of a warm handoff: “Meet-and-Greet” interaction, Abbreviated Visit, and “Standard Visit”.	Review 3 outcomes of a warm handoff: “Meet-and-Greet” interaction, Abbreviated Visit, and “Standard Visit”. - Strongly disagree	Review 3 outcomes of a warm handoff: “Meet-and-Greet” interaction, Abbreviated Visit, and “Standard Visit”. - Disagree	Review 3 outcomes of a warm handoff: “Meet-and-Greet” interaction, Abbreviated Visit, and “Standard Visit”. - Slightly disagree	Review 3 outcomes of a warm handoff: “Meet-and-Greet” interaction, Abbreviated Visit, and “Standard Visit”. - Neither	Review 3 outcomes of a warm handoff: “Meet-and-Greet” interaction, Abbreviated Visit, and “Standard Visit”. - Slightly agree	Review 3 outcomes of a warm handoff: “Meet-and-Greet” interaction, Abbreviated Visit, and “Standard Visit”. - Agree	Review 3 outcomes of a warm handoff: “Meet-and-Greet” interaction, Abbreviated Visit, and “Standard Visit”. - Strongly agree
Implement teamwork strategies in your clinic.	Implement teamwork strategies in your clinic. - Strongly disagree	Implement teamwork strategies in your clinic. - Disagree	Implement teamwork strategies in your clinic. - Slightly disagree	Implement teamwork strategies in your clinic. - Neither	Implement teamwork strategies in your clinic. - Slightly agree	Implement teamwork strategies in your clinic. - Agree	Implement teamwork strategies in your clinic. - Strongly agree
Select an appropriate level of detail for presentations based on setting and time available.	Select an appropriate level of detail for presentations based on setting and time available. - Strongly disagree	Select an appropriate level of detail for presentations based on setting and time available. - Disagree	Select an appropriate level of detail for presentations based on setting and time available. - Slightly disagree	Select an appropriate level of detail for presentations based on setting and time available. - Neither	Select an appropriate level of detail for presentations based on setting and time available. - Slightly agree	Select an appropriate level of detail for presentations based on setting and time available. - Agree	Select an appropriate level of detail for presentations based on setting and time available. - Strongly agree
Assess a patient with suicidal ideation to determine level of risk and appropriate setting of care.	Assess a patient with suicidal ideation to determine level of risk and appropriate setting of care. - Strongly disagree	Assess a patient with suicidal ideation to determine level of risk and appropriate setting of care. - Disagree	Assess a patient with suicidal ideation to determine level of risk and appropriate setting of care. - Slightly disagree	Assess a patient with suicidal ideation to determine level of risk and appropriate setting of care. - Neither	Assess a patient with suicidal ideation to determine level of risk and appropriate setting of care. - Slightly agree	Assess a patient with suicidal ideation to determine level of risk and appropriate setting of care. - Agree	Assess a patient with suicidal ideation to determine level of risk and appropriate setting of care. - Strongly agree
Understand strategies to optimize utilization of BHC services.	Understand strategies to optimize utilization of BHC services. - Strongly disagree	Understand strategies to optimize utilization of BHC services. - Disagree	Understand strategies to optimize utilization of BHC services. - Slightly disagree	Understand strategies to optimize utilization of BHC services. - Neither	Understand strategies to optimize utilization of BHC services. - Slightly agree	Understand strategies to optimize utilization of BHC services. - Agree	Understand strategies to optimize utilization of BHC services. - Strongly agree

What do you anticipate changing or how will you apply what you learned in your professional practice? *

How will you apply what you learned when working with providers of other disciplines or members of your interprofessional healthcare team? *

What barriers, if any, do you see to implementing these changes? *

Please provide feedback on your experience navigating this website and completing the CE process. *

Based on your educational needs, what topics would you like to see addressed in future educational activities? *

Please discuss any additional concerns or comments about this program and indicate whether the program met your expectations. *

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I completed this educational activity independently and in its entirety.

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