Faith Based Training Survey

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1. What types of trainings are you interested in attending at BPHC?

	Very Interested	Somewhat Interested	Not at all Interested
Health Topics (i.e., diabetes, cancer, nutrition, obesity)	*What types of trainings are you interested in attending at BPHC? Health Topics (i.e., diabetes, cancer, nutrition, obesity) Very Interested	Health Topics (i.e., diabetes, cancer, nutrition, obesity) Somewhat Interested	Health Topics (i.e., diabetes, cancer, nutrition, obesity) Not at all Interested
Skill Building (i.e., grant writing, program evaluation, graphic design)	Skill Building (i.e., grant writing, program evaluation, graphic design) Very Interested	Skill Building (i.e., grant writing, program evaluation, graphic design) Somewhat Interested	Skill Building (i.e., grant writing, program evaluation, graphic design) Not at all Interested
Program Planning	Program Planning Very Interested	Program Planning Somewhat Interested	Program Planning Not at all Interested
Event Marketing & Promotion	Event Marketing & Promotion Very Interested	Event Marketing & Promotion Somewhat Interested	Event Marketing & Promotion Not at all Interested
Public Health Theory/Frameworks	Public Health Theory/Frameworks Very Interested	Public Health Theory/Frameworks Somewhat Interested	Public Health Theory/Frameworks Not at all Interested
Clinician Trainings (Influenza Vaccine, etc.)	Clinician Trainings (Influenza Vaccine, etc.) Very Interested	Clinician Trainings (Influenza Vaccine, etc.) Somewhat Interested	Clinician Trainings (Influenza Vaccine, etc.) Not at all Interested
Other	Other Very Interested	Other Somewhat Interested	Other Not at all Interested

Other (please specify)

2. How frequently would you be interested in attending a training at BPHC?

How frequently would you be interested in attending a training at BPHC? Monthly

Bi-monthly

Quarterly

Twice a Year

Annual

3. What day/time works best for you to attend a training?

	Morning (9am - 12pm)	Afternoon (12pm to 5pm)	Evening (5pm - 8pm)
Sunday	*What day/time works best for you to attend a training? Sunday Morning (9am - 12pm)	Sunday Afternoon (12pm to 5pm)	Sunday Evening (5pm - 8pm)
Monday	Monday Morning (9am - 12pm)	Monday Afternoon (12pm to 5pm)	Monday Evening (5pm - 8pm)
Tuesday	Tuesday Morning (9am - 12pm)	Tuesday Afternoon (12pm to 5pm)	Tuesday Evening (5pm - 8pm)
Wednesday	Wednesday Morning (9am - 12pm)	Wednesday Afternoon (12pm to 5pm)	Wednesday Evening (5pm - 8pm)
Thursday	Thursday Morning (9am - 12pm)	Thursday Afternoon (12pm to 5pm)	Thursday Evening (5pm - 8pm)
Friday	Friday Morning (9am - 12pm)	Friday Afternoon (12pm to 5pm)	Friday Evening (5pm - 8pm)
Saturday	Saturday Morning (9am - 12pm)	Saturday Afternoon (12pm to 5pm)	Saturday Evening (5pm - 8pm)

4. Would you be interested in attending meetings with other Faith Based Leader's to share information and best practices?

Would you be interested in attending meetings with other Faith Based Leader's to share information and best practices? Yes

Maybe

5. The Outreach Division is seeking feedback from Faith Based Organization's on the challenges/successes of hosting health fairs, screenings and other wellness events. Would you be interested in participating in an upcoming conference call?

The Outreach Division is seeking feedback from Faith Based Organization's on the challenges/successes of hosting health fairs, screenings and other wellness events. Would you be interested in participating in an upcoming conference call? Yes

Maybe

6. If yes, what day/time are you available for a conference call?

	Morning (9am -12pm)	Afternoon (12pm - 5pm)	Evening (5pm - 8pm)
Sunday	*If yes, what day/time are you available for a conference call? Sunday Morning (9am -12pm)	Sunday Afternoon (12pm - 5pm)	Sunday Evening (5pm - 8pm)
Monday	Monday Morning (9am -12pm)	Monday Afternoon (12pm - 5pm)	Monday Evening (5pm - 8pm)
Tuesday	Tuesday Morning (9am -12pm)	Tuesday Afternoon (12pm - 5pm)	Tuesday Evening (5pm - 8pm)
Wednesday	Wednesday Morning (9am -12pm)	Wednesday Afternoon (12pm - 5pm)	Wednesday Evening (5pm - 8pm)
Thursday	Thursday Morning (9am -12pm)	Thursday Afternoon (12pm - 5pm)	Thursday Evening (5pm - 8pm)
Friday	Friday Morning (9am -12pm)	Friday Afternoon (12pm - 5pm)	Friday Evening (5pm - 8pm)
Saturday	Saturday Morning (9am -12pm)	Saturday Afternoon (12pm - 5pm)	Saturday Evening (5pm - 8pm)

7. Please provide your name and the most convenient phone number or email address to reach you at.

Please provide your name and the most convenient phone number or email address to reach you at.

Faith Based Training SurveyExit this survey

*1. What types of trainings are you interested in attending at BPHC?