PRE-TEST SURVEY

Please complete the following pre-test to help us assess your knowledge of the course material prior to completing this training session.

IMPORTANT!!
Once you complete the pre-test and  FINISHED, you will be able to view your test results. After viewing your results, click DONE.

If you have difficulties completing this survey, please contact Amy Wales at amy.wales@miccsi.org.

Demographics

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* 1. Personal Information

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* 2. Please choose your organization from the choices below:

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* 3. Please list the name of your practice. If not applicable, type "N/A".

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* 4. Please choose your role in your practice:

Pre-Training Confidence Assessment

Please use the following scale to answer questions 5 and 6.

1: Not confident at all
2: Slightly confident
3: Somewhat confident
4: Fairly confident
5: Completely confident

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* 5. On a scale of 1-5 please rate your confidence in managing substance use disorder.

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* 6. On a scale of 1-5 please rate your confidence in managing pain and addiction.

Pre-Training Knowledge Assessment

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* 7. When interviewing a patient to gather more information about their situation, which of the following would be the least helpful?

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* 8. Which of the following is NOT true regarding buprenorphine therapy?

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* 9. Which of the following is NOT true regarding psychogenic pain syndromes?

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* 10. Which of the following is NOT recommended in instances of co-occurring psychiatric illness and chronic pain?

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