Certification of Breathe Training for Funded Partners

Tobacco Free Families/ Breathe Training for Funded Partners

AFTER watching the recording of either the Advanced or Beginner Training for Funded Partners, please complete the following information/questions. A certificate of completion will be emailed to you once Health Ed Pros reviews your response and confirms that you have met the training deliverable for the Tobacco Free Families indicator.

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* 1. Contact Information:

First & Last Name: *

Email Address: *

Lead Agency:

Mailing Address:

City/Town:

State:

ZIP Code:

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* 2. County where your organization is located:

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* 3. How familiar are you with the Breathe program?

I am extremely familiar with Breathe and have conducted several Breathe trainings.

I know about Breathe and have conducted at least 1 Breathe Training.

I know about Breathe but have never conducted a Breathe Training.

I am new and do not know much about Breathe.

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* 4. Which of the Breathe materials do you currently have access to? (Check all that apply)

Breathe Flip Chart

Parent Activites Booklet

Children Activities Booklet

I have none of the Breathe Kit materials

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* 5. Additional Comments/Questions for Health Ed Pros:

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* 6. Which recorded Breathe Training did you watch?

Advance Breathe Training (1 Hour)

Beginner Breathe Training (1.5 Hours)