Training & Event Evaluation The training you just attended was partially supported by the Opioid Response Network (ORN) in partnership with an affiliated organization. Please complete the following questions to help the ORN and the partner organization improve the quality of the services provided. Thank you in advance for your participation.Name* First Last Organization*This field is hidden when viewing the formPlease indicate which title best describes your jobMedical DirectorPhysicianNursePhysician's AssistantPharmacistManager/DirectorClinical Administrator/ManagerClinical SupervisorPsychologistCounselorSocial WorkerFederal Government OfficialState Government OfficialCounty Government OfficialResearcherRecovery staff/volunteer/coachOtherTitle*Assigned Category*Counselor IIPreventionist IICARS IICODP I or IIPCGC IICCJP IICRSS I or IICVSS IICPRS I or IIMAATP IICFPP IIPlease indicate which best describes your agency of affiliation*Federal GovernmentState GovernmentCounty GovernmentLocal GovernmentSubstance Use Treatment ProgramUniversity or other higher education institutionRecovery Center/OrganizationAssociation/CoalitionBehavioral Health ProviderOtherOther agency type*Email* Phone*What is your gender?*MaleFemaleTransgenderNonbinaryOtherPrefer not to discloseAre you hispanic or latino?*YesNoWhich of the following do you consider yourself to be? Heterosexual or Straight Lesbian or Gay Bisexual Other Prefer not to answer What is your race?* Black or African American Asian White Alaska Native American Indian Native Hawaiian or Other Pacific Islander Please select all that apply.How knowledgeable are you on Peer Support on a scale of 1-5, with one being nothing and 5 being very high.*12345How knowledgeable are you on RCO's on a scale of 1-5, with 1 being nothing and 5 being very high.*12345How knowledgeable are you on data collection for Peer Recovery Support Services on a scale of 1-5, with 1 being nothing and 5 being very high.*12345SatisfactionPlease base your answers on how you feel about ORN education or training resources you received.How satisfied are you with the overall quality of the training/event?*Very UnsatisfiedUnsatisfiedNeutralSatisfiedVery SatisfiedHow satisfied are you with the quality of the instruction/facilitation?*Very UnsatisfiedUnsatisfiedNeutralSatisfiedVery SatisfiedHow satisfied are you with the materials/content?*Very UnsatisfiedUnsatisfiedNeutralSatisfiedVery SatisfiedHow satisfied are you with your overall experience?*Very UnsatisfiedUnsatisfiedNeutralSatisfiedVery SatisfiedHow well do you agree with the following statements?Please indicate your agreement with these statements about the ORN education or training you received.The training/event was well organized*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeThe materials/content presented will be useful to me*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeThe instructor/facilitator was knowledgeable about the subject matter.*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeThe instructor/facilitator was well prepared for the course.*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeThe instructor/facilitator was receptive to participant comments and questions.*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeI am currently effective when working in this topic area.*Not ApplicableStrongly DisagreeDisagreeNeutralAgreeStrongly AgreeThe training enhanced my skills in this topic area.*Not ApplicableStrongly DisagreeDisagreeNeutralAgreeStrongly AgreeThe training/event was relevant to my career.*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeI expect to use the information gained from this training/event.*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeI expect this training/event to benefit those who I serve.*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeI would recommend this training/event to a colleague.*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeI would participant in or receive additional ORN education and training resources.*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeHow useful was the information you received from the instructor/facilitator?*Not applicableUselessNeutralUsefulVery UsefulWhat did you gain as an outcome of the “Creating Recovery-Ready Communities” activities in your community?What about the training/event was most useful?How can we improve future trainings/events?$5 Amazon Gift Card Drawing Yes No If you would like to be entered into the monthly drawing for a $5 Amazon gift card, please indicate "Yes".This field is hidden when viewing the formFollow up Please contact me regarding my feedback
