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Complete the Post-test and Evaluation Form

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From Recreational to Functional Use: The New Wave ofCollegiate Drug Use in Changing TimesPresenter: Ross Aikins, MANote: Completion of this post-<strong>test</strong> <strong>and</strong> evaluation is m<strong>and</strong>atory if you are requesting continuingeducation credit. An asterisk indicates a required field. Print a copy of <strong>the</strong> completed PDF form <strong>and</strong> faxto (410) 859-1510. Users of Adobe Reader 8 <strong>and</strong> above should be able to save <strong>the</strong> PDF form locally,however it is recommended to print a copy of <strong>the</strong> form before closing <strong>the</strong> file. If you are able to save <strong>the</strong>form, please submit it via email, ra<strong>the</strong>r than fax, to kmcginnis@acha.org.Last Name* _________________________________________ First Name* _________________________________________Degree(s) _____________________________________Title ____________________________________________________Address* ________________________________________________________________________________________________________________________________________________________________________________________________________City* ____________________________________________________ State* _________ Zip Code* ____________________Telephone Number _________________________________Email Address* _______________________________________Type of credit requested:* (required)◦ CME for physicians◦ CME for non-physicians◦ CNE for nurses◦ CHES for Certified Health Education Specialists◦ MCHES for Master Certified Health Education Specialists◦ PsyCE for psychologists◦ NBCC for national certified counselors◦ NASW for social workersIf requesting CHES for Certified Health Education Specialists orMCHES for Master Certified Health Education Specialists,please enter ID#* __________________________________<strong>Post</strong>-<strong>test</strong>1. The approximate percentage of school-aged children in The United States diagnosed with ADHDis:◦ A. 4%◦ B. 7.5%◦ C. 10%◦ D. 12.7%2. Amphetamine-based ADHD medications (AMP), including dextroamphetamine (d-AMP) <strong>and</strong>mixed amphetamine salts have <strong>the</strong> following common br<strong>and</strong> names (all that apply):◦ A. Ritalin◦ B. Adderall◦ C. Dexedrine◦ D. Strattera


ACHA Online CE <strong>Post</strong>-<strong>test</strong> <strong>and</strong> <strong>Evaluation</strong> | Collegiate Drug Use | page 3 of 49. Please evaluate this online CE activity.StronglyagreeOverall <strong>Evaluation</strong>Agree No opinion Disagree StronglydisagreeOverall, I would rate this◦ ◦ ◦ ◦ ◦activity positivelyThe activity effectively◦ ◦ ◦ ◦ ◦targeted my needsThe activity wasappropriate for myknowledge/skill level.The format (e.g., lecture,discussion) of <strong>the</strong>activity was effective.The presenter(s)delivered <strong>the</strong>information in aneffective manner.The presenter(s)appropriately addressedissues of diversity.◦ ◦ ◦ ◦ ◦◦ ◦ ◦ ◦ ◦◦ ◦ ◦ ◦ ◦◦ ◦ ◦ ◦ ◦The activity met my◦ ◦ ◦ ◦ ◦expectations.Learning this contentwill positively impacthow I deliver care.◦ ◦ ◦ ◦ ◦I would recommend this◦ ◦ ◦ ◦ ◦activity to a colleague.


ACHA Online CE <strong>Post</strong>-<strong>test</strong> <strong>and</strong> <strong>Evaluation</strong> | Collegiate Drug Use | page 4 of 410. The program met <strong>the</strong> learning objectives for <strong>the</strong> following:StronglyagreeAgree No opinion Disagree StronglydisagreeDiscuss <strong>the</strong> context of“changing times” withinhigher education as itpertains to collegiatedrug use, 1960 topresent.Identify both <strong>the</strong>contemporary students’perspective, <strong>and</strong> newchallenges to preventionof illicit nootropic use.Discuss “evolving”strategies <strong>and</strong> messagesto address <strong>the</strong> evolveduse of nootropic drugson campuses.◦ ◦ ◦ ◦ ◦◦ ◦ ◦ ◦ ◦◦ ◦ ◦ ◦ ◦11. Will you change how you practice as a result of this activity?◦ Yes◦ No12. If yes, how?13. Did you perceive commercial bias during this activity?◦ Yes◦ No14. If yes, please specify:15. How could this activity be improved?

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