DMHA CLC 3.0 Toolkit: Building Coalitions

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* 1. Please enter your information

First Name

Last Name

Email Address

Organization

Job Title

County

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* 2. Please choose the group you represent:

Community Mental Health Center

System of Care

Treatment Provider

Recovery Community

Indiana State Agency

Veteran Health Administration or affiliate

Other

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* 3. In the group selected above, I have_____years of experience in my current or multiple roles.

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* 4. What Indiana county(ies) do you represent?

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* 5. Overall this video was a good use of my time.

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* 6. I would recommend this webinar to my colleagues.

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* 7. What additional topics would you like to see covered in upcoming webinars?

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* 8. A coalition is a union of people and organizations working to influence outcomes on a specific problem.

True

False

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* 9. What are types of Coalitions? Please select all that apply.

Advisory Committee

Commissions

Consortia and Alliances

Networks

Task Forces

Cooperatives

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* 10. What are the different roles in coalitions? Please select all that apply.

Organizer

Facilitator

Member

Non-Member

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* 11. The formation of a coalition should sustain continued improvement in equitable access, transformational systems changes, and power sharing.

True

False

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* 12. Which of the following are part of the 5 P's Pillars of Coalitions? Please select all that apply.

Passion

Powerbase

Presence

Prestige

Process

DMHA CLC 3.0 Toolkit: Building Coalitions

Question Title

* 1. Please enter your information

Question Title

* 2. Please choose the group you represent:

Question Title

* 3. In the group selected above, I have_____years of experience in my current or multiple roles.

Question Title

* 4. What Indiana county(ies) do you represent?

Question Title

* 5. Overall this video was a good use of my time.

Question Title

* 6. I would recommend this webinar to my colleagues.

Question Title

* 7. What additional topics would you like to see covered in upcoming webinars?

Question Title

* 8. A coalition is a union of people and organizations working to influence outcomes on a specific problem.

Question Title

* 9. What are types of Coalitions? Please select all that apply.

Question Title

* 10. What are the different roles in coalitions? Please select all that apply.

Question Title

* 11. The formation of a coalition should sustain continued improvement in equitable access, transformational systems changes, and power sharing.

Question Title

* 12. Which of the following are part of the 5 P's Pillars of Coalitions? Please select all that apply.

Question Title

* 13. Additional Comments/Feedback/Questions: