Post-Test/Evaluation - National Perinatal Information Center

Certificate of Attendance & Completion

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Name*

(As it should appear on certificate)

Company

Email*

Phone*

Certificate Type*

1. According to the American Academy of Pediatrics, one out of 13 women report drinking while pregnant:*

2. Fetal alcohol syndrome is completely preventable if a woman/pregnant person does not drink while pregnant:*

3. Briefly, explain how you might use in your practice one learning you are taking home today.*

1. Davina Moss-King, PhD, CRC, CASAC-M, NCC - Knowledge of subject:*

2. Davina Moss-King, PhD, CRC, CASAC-M, NCC - Organization and clarity of content:*

3. Davina Moss-King, PhD, CRC, CASAC-M, NCC - Effectiveness of teaching methods:*

4. As a result of this activity, I was/will be able to describe screening tools to identify alcohol use concerns:*

If no, please explain

5. Were the presentation(s) free from commercial bias?*

If no, please explain

6. Promotional information provided adequate information:*

7. Registration process was efficient:*

8. Scheduling of the activity met my needs:*

9. General comments about the program:

10. Suggestions for future program topics: