Practice Delivery Results Form

Please complete and submit this form following completion of your Practice Delivery Session. Following a review of the information provided, your Certificate of Completion and Program Delivery License will be sent to you electronically (usually within 72 hours).

Name

First Name

Last Name

Title

Company

Email Address

What was the age of the child or teen with whom you practiced COPE?

How many trial sessions did you deliver?

One Session

Two Sessions

Three Sessions

What was the feedback from the child or teen about the program?

Which of the sessions was most appealing to the child/teen (please feel free to provide details)?

How did you, as the instructor, find delivery of the COPE program?

Which of the COPE sessions did you find most valuable (please feel free to provide details)?

How do you now intend to use COPE in your school or medical practice?

Other comments/Feedback/Questions

Practice Delivery Completion Date

YYYY

Coping Skills Programs for Children, Teens, Young Adults, Adults | Schools, Universities, Healthcare, Parents/Teens

CBT-based programs designed to help children, teens, college students , and adults coping with anxiety, stress and depression.

Help for children, teens and young adults coping with anxiety, stress and depression. Cognitive Behavioral Therapy (CBT)-based programs teach them the skills needed to stop negative thoughts and start thinking and believing in more positive ways.