Training Evaluation Survey
Pleae provide a response to the following questions. Thank you for your valuable input and time.
This is the date you attended the live training.
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.