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NCCAOM Evaluation Form

Please complete this form in order to receive CEUs from the NCCAOM. If you are a licensed practitioner and require your license information to be displayed on your certificate, please enter that information in the space provided below.

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Name(Required)

First Last

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Email(Required)

Do you want NCCAOM CEUs?(Required)

Yes, I would like an NCCAOM PDA Certificate

No, the Alchemy Learning Center Certificate of Completion is fine

NCCAOM ID (if applicable)

State Acupuncture License Number (if applicable)

State Massage License Number (if applicable)

Which class did you attend?(Required)

Please select one

Intro to Alchemy for Practitioners

Understanding the Nine Palaces of the Heart

Releasing Chaotic Energy

Thirteen Ghost Points: An Alchemical Treatment

Gui Possession Treatments

Advanced Alchemical Five Element Energetics – Becoming an Alchemical Healer Series (Part One)

Alchemical Rapport and Professional Intimacy – Becoming an Alchemical Healer Series (Part Two)

Removing Obstacles with the Nine Palaces – Becoming an Alchemical Healer Series (Part Three)

Intro to Divergent Channel Treatments

Dai Mai vs. Ghost Points

Other

Are you currently …(Required)

Please select all that apply

An acupuncturist

An acupressurist

A Tui Na practitioner

A Shiatsu practitioner

A massage therapist

A massage student

A Chinese Medicine student (any modality)

A practitioner or student of a modality not listed here

I do not have or plan to have a healing practice of any type

Other

If you selected "other," what type of practitioner/student are you?

The content of the program met my expectations.(Required)

The program met its stated goals and objectives.(Required)

The length of the program was adequate to cover the required information.(Required)

The instructors were knowledgeable of the subject matter presented.(Required)

I received an agenda and the instructors kept to the identified time frames.(Required)

The handouts and teaching methods were well presented to impart the program information.(Required)

I will be able to apply what I have learned in my professional life.(Required)

Overall, how satisfied were you with the program presentation?(Required)

What other Chinese Medicine topics are you interested in?

Please select all that apply

The Thirteen Ghost Points Treatment

The Nine Heart Pains Treatment

The Grieving Treatment

The Starry Sky Points Treatment

The Nine Stages of Alchemy

Internal Devils (IDs) Treatment

External Devils (EDs) Treatment

The Master Alchemy Apprenticeship Program

Cupping

Gua Sha

Releasing Chaotic (Aggressive) Energy

What other types of classes are you interested in?

If you enjoyed this class, would you care to provide us with a testimonial?

May we use your testimonial on our website?

Please select one

Yes, and you can use my name and/or photo too.

You may use my testimonial anonymously.

No thanks.

Please let us know any other thoughts or suggestions you have about this course.

© 2023 - Alchemy Learning Center

NCCAOM Evaluation Form

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