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11th Annual Pre-Conference Workshop

Please share your feedback about your experiences at this year's Pre-Conference. 


First Name 

Last Name: 

Job Title: 


E-mail Address: 

On a scale from 0 to 10, how likely would you be to recommend this program to your colleagues? 

Please indicate your agreement with the following statements about the Pre-Conference Workshop:

The session was well worth my time: 

I learned new information: 
I picked up some ideas/strategies that I expect to use.

Please rate your level of satisfaction with the Pre-Conference Session Content:
Please rate your level of satisfaction with the Pre-Conference Session Presentation Quality: 
Please rate your level of satisfaction with the Pre-Conference Session Value and Applicability: 
Please rate your level of satisfaction with the Pre-Conference Speaker/ Instructor Knowledge and Preparedness:

How did this program inspire you, your program, and your organization?


Questions/ Comments/ Additional Feedback:

What was your main motivator(s) to register for the Pre-Conference Workshop?

Please share your suggestions and ideas for future Pre-Conference topics:

How did you hear about our Pre-Conference Workshop? (Select all that apply.)

Attending other WCWI in-person learning opportunities
Social Media (LinkedIn, Facebook, etc.)
Board Member Referral
Sponsoring Organization Referral
Speaker Referral
General Referral (WCWI Member or Non-Member)
WCWI Website
WCWI Communications (i.e. Email, e-newsletter, etc.)
Member Orientation
Member Information Packet

Will you require CHES, HRCI, and/or NWI continuing education credits? 

Please select all that apply:


First Name: 

Last Name: 


Email Address:


NCHEC Attendance Verification: Sponsored by the Wellness Council of Wisconsin, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. (NCHEC). This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 3.5 Category I continuing education contact hours (CECH). Your total hours will be submitted to NCHEC and you will receive an official Certificate of Completion.



The National Wellness Institute (NWI) has approved the 11th Annual Pre-Conference Workshop for 2.5 Category 1 continuing education credit (CEC) hours for NWI Certified Wellness Practitioners, Certified Worksite Wellness Specialists, Certified Worksite Wellness Program Managers, and Wellness in Clinical Practice certification holders.

myNWI ID: 

NWI Certification(s) Held: 

Certification Expiration Date(s): 

CECs Earned: 

Please note that if you require CHES or NWI credits, all fields above must be completed or CECs may not be recorded by the National Commission for Health Education Credentialing (NCHEC) and/or the National Wellness Institute (NWI).



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