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* 1. Please enter your information

Part 1: Evaluation survey

Please rate your level of agreement with each statement.

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* 2. Overall this video was a good use of my time.

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* 3. I can define colonial mentality.

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* 4. I can provide at least one example of how colonial mentality shows up in contemporary healthcare settings.

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* 5. I can recognize forms of injustice and oppression and how they affect health and access to timely healthcare services.

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* 6. I would recommend this webinar to my colleagues.

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* 7. Please choose the group you represent:

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* 8. In the group selected above, I have_____years of experience in my current or multiple roles.

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* 9. What Indiana county(ies) do you represent?

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* 10. Additional Comments/Feedback/Questions:

Part 2: Additional Learning Opportunities

The following survey seeks your feedback on additional learning opportunities that DMHA is contemplating for the Cultural Competency Project.  Please answer the questions below. 

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* 11. The first two webinars for 2020-2021 Cultural Competency Project were provided as self-paced elearning opportunities with pre-recorded content and follow-up evaluation survey and assessments.  What is your preference going forward?

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* 12. I am interested in participating in an online book club facilitated by DMHA.

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* 13. Please select the book you would be most interested in reading.

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* 14. I would prefer the following format for book club:

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* 15. DMHA has a small budget to purchase books for the proposed book club. Which of the following would you prefer to receive your book? 

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