Continuing Education Form – Stubborn & Uncooperative If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Please complete the form below to receive CEUs for your participation in the one-hour self-study course, Stubborn & Uncooperative. Once your information is submitted, you will receive a reply email from us in 4-8 weeks containing your certificate of completion. Thank you! PARTICIPANT INFORMATION ENROLLMENT PIN * Need help? Click the question mark ("?") for more information. 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ASHA Account Number Or: Only if you are NOT an ASHA member, please complete the field below which is most appropriate. If you are not an ASHA member or CCC holder, you must be licensed or credentialed to practice speech-language pathology (SLP) or audiology or preparing to practice to earn ASHA CEUs. LICENSED - State and License # Only if you are NOT an ASHA member, please complete the field here which is most appropriate. CERTIFIED - State/Organization and # CLINICAL FELLOW - Supervisor Name and His/Her ASHA # STUDENT - Enrolled in a graduate program in SLP or audiology - University Name and Expected Graduation Date LEARNING ASSESSMENT Please feel free to reference your handout or the lecture while answering questions. Uncooperative clients tend to perform better when: * Please select...The work is below their cognitive and phonological levelsThe work is on their cognitive and phonological levelsThe work is above their cognitive and phonological levels Uncooperative clients often say words more readily when: * Please select...Given a choice or filling in a blankGiven the command, "Say"Watching in a mirror and using amplification According to the lecture, the following statement is true: * Please select...Unstructured play is the best approach for uncooperative clientsStructured routine is the best approach for uncooperative clientsTherapy is most successful when it is adapted to address the uncooperative client's nature. A verbal lead is: * Please select...A questionA way to elicit word production that isn't a command or a choiceA form of spontaneous imitation According to the lecture, the best verbal reinforcement offered below is: Please select...Good talking!You said momma!That was a good try! PROGRAM EVALUATION Please rate the following statements from 1 to 5 using the guide below. 1 = Strongly Disagree 2 = Somewhat Disagree 3 = Unsure 4 = Mostly Agree 5 = Strongly Agree 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree The material in this recorded seminar was practical to speech-language therapy. 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree The material presented in the seminar was well-organized. 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree The speaker was knowledgeable about the subject matter. 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree The audio recording was of good quality and easy to hear. 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree The video recording was of good quality and easy to see. 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree The written material was easy to follow with the recording. 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree This seminar was consistent with advertised content. 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree The speaker was open about his/her financial and non-financial relationships; there was no apparent conflict of interest. 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree My overall experience with this seminar was positive. 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree I will be interested in additional recorded seminars from this speaker and company. Did you learn anything that you found exciting, new, or surprising? If so, will you tell us about it? Is there anything that you especially liked or disliked about this recorded seminar? Did you find anything challenging about the learning experience? If so, how could we have made it easier? Please use the space provided below to make comments on any of the items above or on any other aspect of your experience that you would like to bring to our attention.