2019.4.11 Upper Merion - Clearing the Air About Vaping Question Title We would love to hear from you!Your feedback is incredibly valuable so that we may provide the best possible experience at future Be a Part of the Conversation events. The survey should take less than five minutes to complete. Thank you in advance for completing this survey! Your responses are completely anonymous. By participating in this survey you understand and agree that some overall results and some open-ended remarks may be shared for administrative or marketing purposes. Our MissionBe a Part of the Conversation addresses substance use, misuse and addiction and its impact on individuals and their families by building a culture of awareness and support. Question Title * 1. Please provide the date or name of the program for which you are providing feedback: Question Title * 2. Gender Female Male Other Question Title * 3. Age Under 18 18-25 26-45 46-65 66+ Question Title * 4. How many Be a Part of the Conversation programs have you attended? This is my first 2 to 5 5 or more I'm not sure Question Title * 5. What brought you to this event? (check all that apply) General Interest I want to learn about the prevention of substance use and/or addiction. Professional Interest (Medical/Health Care) Professional Interest (Treatment/Therapeutic) I am concerned about someone who is struggling with substance use. I know someone who is currently in recovery from a substance use disorder/addiction. I am currently struggling with substance use. I am currently in recovery from a substance use disorder/addiction. Other (please specify) Question Title * 6. Are you a K through 12 parent, educator, or student? (check all that apply) K through Grade 5 Grade 6 - 8 Grade 9 - 12 I am a K-12 parent. I am a K-12 parent. K through Grade 5 I am a K-12 parent. Grade 6 - 8 I am a K-12 parent. Grade 9 - 12 I am a K-12 educator. I am a K-12 educator. K through Grade 5 I am a K-12 educator. Grade 6 - 8 I am a K-12 educator. Grade 9 - 12 I am a K-12 student. I am a K-12 student. K through Grade 5 I am a K-12 student. Grade 6 - 8 I am a K-12 student. Grade 9 - 12 If you checked any of the above, what is the name of the school or school district? Question Title * 7. Did you find this presentation helpful? Very helpful Somewhat helpful Not very helpful What did you hear that was particularly helpful? Question Title * 8. If you are a parent, how likely are you to initiate a conversation with your child regarding the topic presented at this event? Not at all Slightly Quite Extremely What did you hear that will help you to have that conversation? Or, what additional information would have been helpful? Question Title * 9. Before attending this event, how did you feel about the topic presented? Not at all Slightly Quite Extremely Knowledgeable Knowledgeable Not at all Knowledgeable Slightly Knowledgeable Quite Knowledgeable Extremely Confident Confident Not at all Confident Slightly Confident Quite Confident Extremely Aware of Resources Aware of Resources Not at all Aware of Resources Slightly Aware of Resources Quite Aware of Resources Extremely Question Title * 10. After attending this event, how do you feel about the topic presented? Not at all Slightly Quite Extremely Knowledgeable Knowledgeable Not at all Knowledgeable Slightly Knowledgeable Quite Knowledgeable Extremely Confident Confident Not at all Confident Slightly Confident Quite Confident Extremely Aware of Resources Aware of Resources Not at all Aware of Resources Slightly Aware of Resources Quite Aware of Resources Extremely Question Title * 11. Which of the following topics would you like us to present in the future? (check as many as you like) Setting Healthy Boundaries Technology & Youth Underage Drinking Marijuana Vaping / Electronic Cigarettes Family Dynamics Young People in Recovery from Alcoholism or Addiction Family Members Impacted by Alcoholism or Addiction School In-service Day or other Professional Development "Mock Teen Bedroom" (showing indications of substance use) Experts in the Field of Addiction Other (please specify) Question Title * 12. Would you recommend a Be a Part of the Conversation program to a friend? Yes Maybe No Question Title * 13. Would you attend a Be a Part of the Conversation program in the future? Yes Maybe No Question Title * 14. Please share any additional feedback. Be a Part of the Conversation is a 501(c)3 nonprofit organization. Click here if you would like to make a tax deductible contribution. Click here to subscribe to our e-newsletter. If you are interested in volunteering, please send an email to info@conversation.zone or call 267-629-2214. Visit our website to learn more: www.conversation.zone Thank you!We sincerely appreciate your feedback! Done