Good4Growth Community Health Worker Training Name * First Last Name * Last Credentials * HUB (choose one) Mahoning Valley Pathways HUB Summit County Pathways HUB Community Health Access Project HUB Northwest Ohio Pathways HUB Care Coordination Network (Columbus) Health Care Access Now (Cincinnati) New Option Email Address * Phone Number * Address * Address 2 City * State * ------ Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * OBJECTIVES: At the conclusion of this activity, are you able to: Describe the importance of early life relationships for building social, emotional, and cognitive skills. * Yes No Educate families on the best way to positively parent their child using talk, reading, play, and regular daily routines * Yes No Promote a style of discipline that uses the parent-child relationship to teach the child how to calm themselves, how to describe their feelings, and how to use their social skills rather than act impulsively on their emotions. * Yes No OUTCOME: The learner will have a better understanding of early life relationships, positive parenting, appropriate use of discipline, and how all aspects impact childhood growth and development. Was this outcome met? * Yes No SPEAKERS: On a scale of 1-5, with 1 being Strongly Disagree and 5 being Strongly Agree, please rate the following statements. Speaker demonstrated teaching effectiveness: Robert Murray, MD, FAAP * 1 2 3 4 5 OVERALL PRESENTATION: On a scale of 1-5, with 1 being Strongly Disagree and 5 being Strongly Agree, please rate the following statements. The presentation was well organized and logically sequenced. * 1 2 3 4 5 The material was not too difficult to understand. * 1 2 3 4 5 I gained new information. * 1 2 3 4 5 How would you rate your overall satisfaction with this activity? * Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied Additional Comments: By signing or typing your name, you confirm your identity and attest to attending the entire educational activity. * Clear If you are human, leave this field blank.