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CoCM Continued Learning Series Webinar - Motivational Interviewing: SBIRT & Putting it Together
POST-WEBINAR SURVEY
Please take a few moments to complete the following post-webinar survey to help us assess your experience with this webinar series.
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1.
Personal Information
(Required.)
First Name
Last Name
Credential
Email
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2.
Physician Organization
(Required.)
Affinia Health Network-Lakeshore
Alliance Health
GMP Network
Great Lakes Physician Organization
Northern Physician Organization (NPO)
Integrated Health Partners (IHP)
Other (please specify)
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3.
Practice
(Required.)
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4.
Please choose your role:
(Required.)
Provider (MD, DO, PA-C, NP, etc.)
Nurse Care Manager/Care Coordinator
Social Worker Care Manager/Behavioral Health Specialist
Pharmacist
Other Clinical (CMA, RMA, etc.)
Non-Clinical (Practice Manager, Support Staff, etc.)
Leadership
Other (please specify)
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5.
On a scale of 1-5 please rate the topics of this session:
(Required.)
1-Not at all Helpful
2-Not too Helpful
3-Neutral/About Average
4-Fairly Helpful
5-Very Helpful
Review of the evidence-based approaches to screen for SUD and discuss the use of MI to effectively coach and mentor the patient
1-Not at all Helpful
2-Not too Helpful
3-Neutral/About Average
4-Fairly Helpful
5-Very Helpful
Review the use of the SPIRIT and Skills of MI and discuss approaches to consider when the patient has dual diagnosis of Depression/Anxiety and SUD
1-Not at all Helpful
2-Not too Helpful
3-Neutral/About Average
4-Fairly Helpful
5-Very Helpful
6.
If you scored the above topics at a 4 or 5, please give examples of what was most helpful.
7.
If you scored the above topics at a 1 or 2, please tell us more.
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8.
After attending this webinar, please rate your change in confidence at applying motivational interviewing skills to patient care.
(Required.)
1-Not at all Confident
2-Somewhat Confident
3-Average
4-Confident
5-Very Confident
1-Not at all Confident
2-Somewhat Confident
3-Average
4-Confident
5-Very Confident
9.
What new abilities/strategies have you gained from this session?
10.
After attending this session, what would be helpful to learn about in future sessions?
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11.
I felt the presentations were free of commercial bias.
(Required.)
Yes
No
12.
If you answered no to the above question, please describe bias.
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13.
Were disclosures made available to you?
(Required.)
Yes
No
14.
Other Comments: