CEU Submission and Feedback Form
Please fill out the form below to obtain your CEU certification.
Webinar: ABA Data Collection 101: Best Practices
Email Your Certificate Will Be Sent To
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example@example.com
Name
*
First Name
Last Name
BACB Certification Number (Put N/A if you do not have one)
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Event Modality (Select "online synchronous" if you attended the live event. Select "online asynchronous" if you watched the webinar at a later time.)
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Online Synchronous
Online Asynchronous
Date Attended Webinar
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Month
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Day
Year
Date
Quiz and Feedback Form
Input the secret words from the event and your feedback on this webinar to obtain your CEUs.
What is the first secret word mentioned in the webinar?
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What is the second secret word mentioned in the webinar?
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I learned something new and relevant to my work from this webinar today.
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Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I felt as though the presenters were professional and knowledgeable in the content they were presenting.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I would like to attend future CEU offerings from Therapy Brands.
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Yes
No
Maybe
Any additional comments/feedback?
What would you like to see offered as future CEU content from Therapy Brands?
Submit
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