PRC Training Needs Assessment Survey FY2015 Question Title * 1. Date Date: Date Question Title * 2. Please provide the following information: Name: * Organization: * Address: Address 2: City/Town: ZIP: County: Email Address: * Phone Number: Question Title * 3. In what areas would you like to receive training? (select all that apply) Bullying Self Harm/Cutting Suicide Prevention Suicide Postvention Drug Trends Tobacco Trends and Use Eating Disorders Internet Safety Strategies for Strengthening Families Risk and Protective Factors/ Resiliency Mental Health Topics Child/Adolescent Development Ethics for Prevention Professionals Ethics(LCDC, LPC, Social Work, LMFT) HIV/HEP C Crisis Intervention Child Abuse/Neglect Counseling Strategies Community Mobilization Strategic Prevention Framework Post Traumatic Stress Disorder COPSD Cultural Awareness Classroom Management School Safety Continuing Education for Prevention Providers/Advanced Prevention Training (DSHS) Prevention Staff Training (Initial 15-hour training) (DSHS) Other (please specify) Question Title * 4. Are you interested in substance abuse curriculum training? Yes No Question Title * 5. If so, which one(s) Kids' Connection (Curriculum Based Support Group) Youth Connection (Curriculum Based Support Group) Too Good for Drugs All Stars Project Towards No Drug Abuse Project Success Creating Lasting Family Connections LifeSkills Training Positive Action Strengthening Families Program Reconnecting Youth Other (please specify) Question Title * 6. How many training hours are you required to get a year for your certification? Question Title * 7. How far are you willing to travel to attend a training? 0 - 30 miles 30 - 60 miles 60 - 90 miles 100 or more miles Question Title * 8. What kind of CEU's do you need? Social Work LMFT Certified Prevention Specialist CCJP TCLEOSE LPC LCDC Other (please specify) Question Title * 9. Please provide any recommendations you have for topics and/or presenters for future trainings. Done