For the purposes of the National Training Centers' evaluation, we need a little information from you before you start this e-learning module. 

The link to the e-learning module is provided at the end of the survey. 
Please provide the zip code for your primary workplace (e.g., where you work):

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* 1. Please provide the zip code for your primary workplace (e.g., where you work):

Which of the following best describes your workplace setting? (select one)

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* 2. Which of the following best describes your workplace setting? (select one)

How many years have you worked in the field of family planning? (select one)

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* 3. How many years have you worked in the field of family planning? (select one)

What best describes your primary role at your workplace? (select one)

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* 4. What best describes your primary role at your workplace? (select one)

What is your organization’s Title X affiliation (select one)

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* 5. What is your organization’s Title X affiliation (select one)

Where did you hear about the training? (select all that apply)

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* 6. Where did you hear about the training? (select all that apply)

Are you Hispanic or Latino? (select one, optional)

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* 7. Are you Hispanic or Latino? (select one, optional)

What is your racial background? (select one, optional)

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* 8. What is your racial background? (select one, optional)

What is your gender? (select one, optional)

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* 9. What is your gender? (select one, optional)

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