Training Evaluation Survey

Pleae provide a response to the following questions. Thank you for your valuable input and time.

Did you attend a live training or did you watch a recorded training?

Live (Attended the training live at a scheduled time)

Recording (Watched a recording with on-demand access via Vimeo)

Duration (Number of hours)

1.5

4. I feel more confident being able to apply what I learned today (compared to how I felt before this session).

5. Based on what you learned today, will you make changes to your practice?

Yes

Not applicable

6. If you attended the previous session in this series, were you able to apply what you learned when you returned to work?

Yes

N/A-This is my first session in this series.

Your option to provide responses to the following questions are voluntary.

The Center of Excellence for Behavioral Health in Nursing Facilities’ grant sponsor, Substance Abuse and Mental Health Services Administration (SAMHSA), requires that grantees prepare a Disparity Impact Statement (DIS) as part of a data-driven, quality improvement approach to advance equity for all. We respectfully request that you answer the (DIS) questions to assist us in our efforts to identify and improve the needs of communities to advance behavioral health equity.

Providing the requested demographic information is voluntary and, per the Center of Excellence for Behavioral Health in Nursing Facilities privacy policy will not be shared publicly.

1. Which race/ethnicity best describes you? (Please choose only one.)

2. Gender: How do you identify?

Send me a copy of my responses

Report Abuse