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E-course 9 Online Training Survey Pre-Test
Pre-Test
The pre-test gathers aggregate information about you so that we can understand who is taking our trainings. Our
privacy policy
has more information about what we do with your personal information. Please read more
information about the course presenter and course learning objectives (post test based upon course learning objectives along with the course evaluation survey tool).
*
1
. Please tell us about where you live.
Please tell us about where you live.
City/Town:
State/Province:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
2
. What role do you play in the behavioral health system?
What role do you play in the behavioral health system?
Provider
Service Recipient
Family Member
Community Stakeholder
Other
3
. If you are a provider, what category best describes your position?
If you are a provider, what category best describes your position?
Clinical/direct care
Clinical/administrator
Administrator
Supervisor
Peer/Family Support
Other
Not Applicable
4
. How did you learn of the training? (You may select more than one option.)
How did you learn of the training? (You may select more than one option.)
Magellan Web site
Provider Focus Newsletter
Friend/colleague
Article
Another training
Other
5
. How many online courses have you taken in the last year?
How many online courses have you taken in the last year?
1-3
3-5
5-7
7-9
10 or more
6
. Please provide your e-mail address if you would like to be notified regarding updated and/or new online training opportunities.
Please provide your e-mail address if you would like to be notified regarding updated and/or new online training opportunities.
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