DMHA CLC Webinar 5 Survey

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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

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. Which of the following Top 10 Actions will you partake in this year?

Take ACTION in response to Microaggressions

Understand Healthy People 2030 Framework

Leverage Healthy People 2030 as a progress dashboard, resource and program implementation guide

Take the Implicit Association Test

Use First Person Language

Review the 15 actions steps of the National CLAS

Know how to impact policy change

Identify Limited English Proficiency need in your service area

Identify & attend additional training & cultural exposure opportunities

Maximize your equity literacy through trusted resources delivered to your inbox

Question Title

* 8. Which of the following Top 10 Actions will you share with a colleague?

Take ACTION in response to Microaggressions

Understand Healthy People 2030 Framework

Leverage Healthy People 2030 as a progress dashboard, resource and program implementation guide

Take the Implicit Association Test

Use First Person Language

Review the 15 actions steps of the National CLAS

Know how to impact policy change

Identify Limited English Proficiency need in your service area

Identify & attend additional training & cultural exposure opportunities

Maximize your equity literacy through trusted resources delivered to your inbox

Question Title

* 9. Which of the following Top 10 Actions will you implement in your organization?

Take ACTION in response to Microaggressions

Understand Healthy People 2030 Framework

Leverage Healthy People 2030 as a progress dashboard, resource and program implementation guide

Take the Implicit Association Test

Use First Person Language

Review the 15 actions steps of the National CLAS

Know how to impact policy change

Identify Limited English Proficiency need in your service area

Identify & attend additional training & cultural exposure opportunities

Maximize your equity literacy through trusted resources delivered to your inbox

Question Title

* 10. Which of the following Top 10 Actions are already implemented in your organization?

Take ACTION in response to Microaggressions

Understand Healthy People 2030 Framework

Leverage Healthy People 2030 as a progress dashboard, resource and program implementation guide

Take the Implicit Association Test

Use First Person Language

Review the 15 actions steps of the National CLAS

Know how to impact policy change

Identify Limited English Proficiency need in your service area

Identify & attend additional training & cultural exposure opportunities

Maximize your equity literacy through trusted resources delivered to your inbox

DMHA CLC Webinar 5 Survey

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. Which of the following Top 10 Actions will you partake in this year?

Question Title

* 8. Which of the following Top 10 Actions will you share with a colleague?

Question Title

* 9. Which of the following Top 10 Actions will you implement in your organization?

Question Title

* 10. Which of the following Top 10 Actions are already implemented in your organization?

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

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* 12. Additional Comments/Feedback/Questions: