Tennessee State Opioid Response (SOR): Opioids, Stimulants, and Overdose Prevention Training Evaluation Form Survey

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* 4. What is the name of the county where you live most of the time? (Note: If you are not a Tennessee resident, please select "Non-TN County")

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* 5. What is your age?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 6. What is your gender?

Female

Male

I prefer to self identify:

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* 7. Please select your race(s) from the list below (check all that apply).

American Indian or Alaskan Native

Asian / Pacific Islander

Black or African American

White / Caucasian

More than one race

Other (please specify):

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* 8. Are you Hispanic or Latino?

Yes, I am Hispanic or Latino.

No, I am not Hispanic or Latino.

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* 9. Have you ever served in the Armed Forces, Reserves, National Guard, or any other uniformed services?

Yes.

No.

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* 10. Which of the following best describes your role(s) in the community? (Check ALL that apply)

Law enforcement

Fire/Emergency Medical Services (EMS)

School staff

Substance Use Prevention Coalition (SUPC) member/prevention staff

Alcohol and drug treatment/recovery support staff

Social service organization staff (e.g., shelters, supportive housing)

Employer/employee assistance program (EAP) staff

Courts/probation/detention facility staff

Individual at risk of overdose

Friends, family members, sponsors, or other support persons

Medical/health provider or professional

Other (please specify)

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* 11. How did you hear about today's training? (Check ALL that apply)

Print or broadcast media advertising (e.g., flyers, posters, newsletters, radio)

Social media advertising (e.g., Twitter, Facebook, Instagram)

Internet search or website

Through a friend or family member

Through an employer or school

Through a service provider, agency, or support group (e.g., alcohol and drug treatment center, shelter, detention facility)

Word of mouth

Other (please specify)

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* 12. How would you rate the content of this training in each of the following areas?

	Excellent	Good	Okay	Not very good	Poor
Appropriate fit for the audience	Appropriate fit for the audience Excellent	Appropriate fit for the audience Good	Appropriate fit for the audience Okay	Appropriate fit for the audience Not very good	Appropriate fit for the audience Poor
Relevance to your personal or professional role	Relevance to your personal or professional role Excellent	Relevance to your personal or professional role Good	Relevance to your personal or professional role Okay	Relevance to your personal or professional role Not very good	Relevance to your personal or professional role Poor
Balance between instruction and discussion	Balance between instruction and discussion Excellent	Balance between instruction and discussion Good	Balance between instruction and discussion Okay	Balance between instruction and discussion Not very good	Balance between instruction and discussion Poor

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* 13. How would you rate the trainer in each of the following areas?

	Excellent	Good	Okay	Not very good	Poor
Knowledge of the topic	Knowledge of the topic Excellent	Knowledge of the topic Good	Knowledge of the topic Okay	Knowledge of the topic Not very good	Knowledge of the topic Poor
Facilitation or teaching skills	Facilitation or teaching skills Excellent	Facilitation or teaching skills Good	Facilitation or teaching skills Okay	Facilitation or teaching skills Not very good	Facilitation or teaching skills Poor

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* 14. How much do you 'agree' or 'disagree' with each statement regarding the impact of this training?

	Strongly agree	Agree	Neither agree nor disagree	Disagree	Strongly disagree
It increased my knowledge and understanding of the science of addiction.	It increased my knowledge and understanding of the science of addiction. Strongly agree	It increased my knowledge and understanding of the science of addiction. Agree	It increased my knowledge and understanding of the science of addiction. Neither agree nor disagree	It increased my knowledge and understanding of the science of addiction. Disagree	It increased my knowledge and understanding of the science of addiction. Strongly disagree
It helped change negative ideas about people with substance use disorders.	It helped change negative ideas about people with substance use disorders. Strongly agree	It helped change negative ideas about people with substance use disorders. Agree	It helped change negative ideas about people with substance use disorders. Neither agree nor disagree	It helped change negative ideas about people with substance use disorders. Disagree	It helped change negative ideas about people with substance use disorders. Strongly disagree
It helped me learn about prevention, treatment, or recovery resources in my community.	It helped me learn about prevention, treatment, or recovery resources in my community. Strongly agree	It helped me learn about prevention, treatment, or recovery resources in my community. Agree	It helped me learn about prevention, treatment, or recovery resources in my community. Neither agree nor disagree	It helped me learn about prevention, treatment, or recovery resources in my community. Disagree	It helped me learn about prevention, treatment, or recovery resources in my community. Strongly disagree
It provided information, tools, or resources that I can apply to my personal or professional roles.	It provided information, tools, or resources that I can apply to my personal or professional roles. Strongly agree	It provided information, tools, or resources that I can apply to my personal or professional roles. Agree	It provided information, tools, or resources that I can apply to my personal or professional roles. Neither agree nor disagree	It provided information, tools, or resources that I can apply to my personal or professional roles. Disagree	It provided information, tools, or resources that I can apply to my personal or professional roles. Strongly disagree

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* 15. How would you rate the overall quality of this training session?

Excellent

Good

Okay

Not very good

Poor

Excellent

Good

Okay

Not very good

Poor

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* 16. In your personal or professional role, how likely is it that you might encounter someone who is experiencing an opioid overdose in the next 12- to 18-month period?

Extremely likely

Very likely

Somewhat likely

Not very likely

Not at all likely

Unsure

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* 17. Based on the information presented in this training, how confident do you feel about your ability to respond to a suspected opioid overdose event using naloxone?

Extremely confident

Very confident

Somewhat confident

Not very confident

Not at all confident

Unsure

Naloxone was not covered in this training

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* 18. Based on the information presented in this training, how confident do you feel about your ability to use fentanyl or xylazine test strips effectively?

Extremely confident

Very confident

Somewhat confident

Not very confident

Not at all confident

Unsure

Use of test strips was not covered in this training

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* 19. How has this SOR training helped you in your work or personal life (if at all)?

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* 20. If you have suggestions to make this training better, please share them below. (Note: Please do not enter your name or any other personal information here.)

Tennessee State Opioid Response (SOR): Opioids, Stimulants, and Overdose Prevention Training Evaluation Form

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* 1. Please select the ROPS ID/name of your ROPS trainer.

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* 2. Please select the date of the training you attended.

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* 3. Was the training you attended online or in-person?

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* 4. What is the name of the county where you live most of the time? (Note: If you are not a Tennessee resident, please select "Non-TN County")

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* 5. What is your age?

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* 6. What is your gender?

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* 7. Please select your race(s) from the list below (check all that apply).

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* 8. Are you Hispanic or Latino?

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* 9. Have you ever served in the Armed Forces, Reserves, National Guard, or any other uniformed services?

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* 10. Which of the following best describes your role(s) in the community? (Check ALL that apply)

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* 11. How did you hear about today's training? (Check ALL that apply)

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* 12. How would you rate the content of this training in each of the following areas?

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* 13. How would you rate the trainer in each of the following areas?

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* 14. How much do you 'agree' or 'disagree' with each statement regarding the impact of this training?

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* 15. How would you rate the overall quality of this training session?

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* 16. In your personal or professional role, how likely is it that you might encounter someone who is experiencing an opioid overdose in the next 12- to 18-month period?

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* 17. Based on the information presented in this training, how confident do you feel about your ability to respond to a suspected opioid overdose event using naloxone?

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* 18. Based on the information presented in this training, how confident do you feel about your ability to use fentanyl or xylazine test strips effectively?

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* 19. How has this SOR training helped you in your work or personal life (if at all)?

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* 20. If you have suggestions to make this training better, please share them below. (Note: Please do not enter your name or any other personal information here.)

Tennessee State Opioid Response (SOR):
Opioids, Stimulants, and Overdose Prevention Training Evaluation Form