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ANSWER SHEET - COUNSELOR/THERAPIST/NCC
 
Last Name First Name MI
Today’s Date
mm/dd/yyyy
Counselor/Therapist License
License # State where licensed   Title
  Expiration Date
mm/dd/yyyy		 Title - Other:
NCC Certificate
NCC Cert#  

Mailing Address
City State Zip
Phone
Fax Email

For True/False questions: A=True and B=False.
Click your answers.
SUBJECTIVE WELL-BEING (Happiness)
A B C D
1.
2.
3.
4.
5.
A B C D
6.
7.
8.
9.
10.
A B C D
11.
12.
13.
14.
15.
A B C D
16.
17.
18.
19.
20.
HEALTHY PERSONALITY
A B C D
1.
2.
3.
4.
5.
A B C D
6.
7.
8.
9.
10.
A B C D
11.
12.
13.
14.
15.
A B C D
16.
17.
18.
19.
20.
ETHICS
A B C D
1.
2.
3.
4.
5.
A B C D
6.
7.
8.
9.
10.
A B C D
11.
12.
13.
14.
15.
A B C D
16.
17.
18.
19.
20.
DOMESTIC VIOLENCE
A B C D
1.
2.
3.
4.
5.
A B C D
6.
7.
8.
9.
10.
A B C D
11.
12.
13.
14.
15.
A B C D
16.
17.
18.
19.
20.
HEALTHY AGING
A B C D
1.
2.
3.
4.
5.
A B C D
6.
7.
8.
9.
10.
A B C D
11.
12.
13.
14.
15.
A B C D
16.
17.
18.
19.
20.
ETHICS: CASE STUDIES
A B C D
1.
2.
3.
4.
5.
A B C D
  6.
  7.
  8.
  9.
10.
A B C D
11.
12.
13.
14.
15.
A B C D
16.
17.
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20.
WOMEN'S HEALTH
A B C D
1.
2.
3.
4.
5.
A B C D
  6.
  7.
  8.
  9.
10.
A B C D
11.
12.
13.
14.
15.
A B C D
16.
17.
18.
19.
20.
FAMOUS THERAPIST ERRORS
A B C D
1.
2.
3.
4.
5.
A B C D
  6.
  7.
  8.
  9.
10.
A B C D
11.
12.
13.
14.
15.
A B C D
16.
17.
18.
19.
20.
ETHICS: CASES and COMMENTARY
A B C D
1.
2.
3.
4.
5.
A B C D
6.
7.
8.
9.
10.
A B C D
11.
12.
13.
14.
15.
A B C D
16.
17.
18.
19.
20.
POSITIVE PSYCHOLOGY
A B C D
1.
2.
3.
4.
5.
A B C D
6.
7.
8.
9.
10.
A B C D
11.
12.
13.
14.
15.
A B C D
16.
17.
18.
19.
20.

Subjective Well-Being

 $19 $
Healthy Personality $19 $
Ethics $29 $
Domestic Violence $29 $
Healthy Aging $39 $
Ethics: Case Studies $59 $
Women's Health $59 $
Famous Therapist Errors $49 $
Ethics: Cases and Commentary $59 $
Positive Psychology $109 $
Total for all courses $


Please return my Certificates of Completion by mail.
Please return my Certificates of Completion to fax number above.
Please return my Certificates of Completion to the following e-mail address.

COURSE EVALUATION (OPTIONAL)
If you do not wish to complete the evaluation you may skip this step and continue submitting your answer sheet by clicking the "Submit" button below.

Please respond to the following questions utilizing this Likert Scale.
Strongly Agree - 5
Agree - 4
Neutral - 3
Disagree - 2
Strongly Disagree - 1

1. Course content was comprehensive. 1 2 3 4 5
2. Course information was clearly presented. 1 2 3 4 5
3. Course format was well planned. 1 2 3 4 5
4. The course was effectively executed. 1 2 3 4 5
5. Program content was beneficial to me. 1 2 3 4 5
6. Learning objectives were clearly stated at the onset of the course. 1 2 3 4 5
7. Learning objectives were specific and measurable. 1 2 3 4 5
8. The learning objectives met my professional needs. 1 2 3 4 5
9. Course presentation met the stated learning objectives. 1 2 3 4 5
10. The author was knowledgeable of the subject matter. 1 2 3 4 5
11. I would recommend this course to a colleague. 1 2 3 4 5
12. I would take another course from this author. 1 2 3 4 5
13. I valued the course information. 1 2 3 4 5
14. The course met my professional expectations. 1 2 3 4 5
15. Please comment on strengths and weaknesses of this program.
16. Please suggest any improvements you recommend to this program.



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