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2024 Annual Great Plains Behavioral Health Conference Evaluation
Background Information
1.
City of Residence
2.
Zip Code
3.
Tribal Community Geographical Region
Oglala Sioux Tribe
Rosebud Sioux Tribe
Cheyenne River Sioux Tribe
Crow Creek Sioux Tribe
Lower Brule Sioux Tribe
Yankton Sioux Tribe
Rapid City Service Area
Standing Rock Sioux Tribe
Omaha Tribe of Nebraska
Winnebago Tribe of Nebraska
Trenton Indian Service Area
Turtle Mountain Band of Chippewa
Ponca Tribe of Nebraska
Santee Sioux Tribe
Omaha/Lincoln Nebraska Service Area
Meskwaki Nation: Sac and Fox Tribe of Iowa
Sioux Falls Service Area
Sisseton Wahpeton Oyate
Other (please specify)
4.
Sex:
Male
Female
5.
What is the highest level of school you have completed or the highest degree you have received?
Less than high school degree
High school degree or equivalent (e.g., GED)
Some college but no degree
Associate degree
Bachelor degree
Graduate degree
6.
Current Occupation
Licensed/Certified Addiction Counselor
Qualified Mental Health Provider
Counselor Trainee
Administrator
Public Health Professional
Health Professional
Counselor Aide/Tec
Other (please specify)
7.
Number of Years Worked in Current Occupation/Field of Practice
8.
How Did Your Hear About Our Conference?
Supervisor/Co-Worker
Email - Flyer & Registration Information
Flyer Posted in Workplace
Website
Social Media
Friend or Relative
Other (please specify)
