Dr. Burns #11 DAY 3 Saturday May 2, 2015
Criteria of Course Completion: All participants must sign-in in the morning and after lunch, attend the course, and participate in group discussions, question and answer periods and complete this course evaluation form.
Self-Assessment of Learning Date: May 2, 2015
2015 General & Special Education Conference-San Antonio
Course Title: Moving On Up To Executive Function By Martha Burns, PhD, CCC-SLP, Northwestern University
Participant’s Name:______
Check one: ___I am an educator ___ I am a school leader/supervisor
Circle the number that corresponds to the value with which you agree with the following statements.
(1 = strongly disagree, 2 = disagree, 3=neutral, 4 = Agree, 5 =strongly agree)
As a result of this course, I am better able to:
1. Demonstrate understanding of human frontal lobe attention, motor planning and motor monitoring functions
L 1 2 3 4 5 J
(strongly disagree) (neutral) (strongly agree)
2. Demonstrate understanding of right hemisphere to Frontal Lobe connections for endogenous and exogenous attention as well as Theory of Mind
L 1 2 3 4 5 J
(strongly disagree) (neutral) (strongly agree)
3. Describe how developmental limitations to specific neural networks result in language, perceptual and cognitive dysfunction
L 1 2 3 4 5 J
(strongly disagree) (neutral) (strongly agree)
4. Identify specific neuro-developmental executive function disorders
L 1 2 3 4 5 J
(strongly disagree) (neutral) (strongly agree)
5. Describe how to recognize the frontal lobe issues associated with typical adolescent learning and behavior
L 1 2 3 4 5 J
(strongly disagree) (neutral) (strongly agree)
6. Explain how to select and prioritize educational best practices and evidence based interventions for modification of executive function limitations
L 1 2 3 4 5 J
(strongly disagree) (neutral) (strongly agree)
Overall Professional Development Survey Questions:
This course provided examples of how to improve assessment skills and/or how to analyze and use data for instructional decision-making? L 1 2 3 4 5 J
(poor) (average) (Excellent)
Information presented in this course will help me work more effectively with parents and team members/educators. L 1 2 3 4 5 J
(poor) (average) (Excellent)
Information presented in this course was based on scientific research and/or evidence-based practices.
L 1 2 3 4 5 J
(poor) (average) (Excellent)
Overall Conference Rating
Only complete this section on the last day you are attending the conference and rate the overall conference event.
Overall clarity of session objectives L 1 2 3 4 5 J (poor) (average) (Excellent)
Effectiveness of presentation method by speakers L 1 2 3 4 5 J
(poor) (average) (Excellent)
Quality of oral presentations L 1 2 3 4 5 J
(poor) (average) (Excellent)
Instructors' command of subject matter L 1 2 3 4 5 J
(poor) (average) (Excellent)
Opportunity for interaction within the sessions L 1 2 3 4 5 J
(poor) (average) (Excellent)
Quality of written/digital materials provided L 1 2 3 4 5 J
(poor) (average) (Excellent)
Organization of the event L 1 2 3 4 5 J
(poor) (average) (Excellent)
Usefulness of subject matter presented L 1 2 3 4 5 J
(poor) (average) (Excellent)
What did you learn during this conference that will be useful in your practice/classroom/job?
List course topic suggestions and/or speakers recommendations for the 2016 Education Conference and how we can improve this activity?
2