DMHA CLC Webinar 1 Survey Question Title * 1. Please enter your information First Name Last Name Email Address Organization Job Title County Part 1: Evaluation surveyPlease rate your level of agreement with each statement. Question Title * 2. Overall this primer video was a good use of my time. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 3. I understand definitions on race & racism. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 4. I understand definitions on class & classism. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 5. I understand the impact of internalization. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 6. I would recommend this webinar to my colleagues. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 7. Please choose the group you represent: Community Mental Health Center System of Care Recovery Provider Other Question Title * 8. In the group selected above, I have_____years of experience in my current or multiple roles. 0-5 years 6-10 years 11-15 years 16-20 Years Over 20 years Question Title * 9. What Indiana county(ies) do you represent? Question Title * 10. Additional Comments/Feedback/Questions: Part 2: Personal bias assessmentPlease rate your level of agreement with each statement. Question Title * 11. I respect other cultures that differ from my own. Always Very Often Sometimes Rarely Never Question Title * 12. I impose my personal beliefs on other people. Always Very Often Sometimes Rarely Never Question Title * 13. I respect non-traditional family structures (e.g., divorced parents, same-gender parents, foster/adoptive parents, extended family, and grandparents as caregivers). Always Very Often Sometimes Rarely Never Question Title * 14. I accept people who are LGBTQ. Always Very Often Sometimes Rarely Never Question Title * 15. I say something when someone makes harmful or insensitive comments about other people. Always Very Often Sometimes Rarely Never Question Title * 16. I make insensitive comments or engage in insensitive behaviors. Always Very Often Sometimes Rarely Never Question Title * 17. I am willing to listen and grow if and when my attitudes or behaviors may--intentionally or not--cause harm to or disrespect others' identities, cultures, or beliefs. Always Very Often Sometimes Rarely Never Question Title * 18. I respect a person’s decision to assimilate (or not assimilate) to the predominant culture of the U.S. Always Very Often Sometimes Rarely Never Question Title * 19. Speaking languages other than English in the U.S. is acceptable. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 20. Roles of family members may differ within or across cultures or families. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 21. A person’s family members and other designees can be decision makers for services and support. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 22. I understand the distinction between a communication disability and a communication difference. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 23. There are several American English dialects and all English speakers use a dialect of English. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 24. Inequalities are largely systemic in origin, rather than the result of cultural flaws or differences. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 25. The use of a foreign accent or limited English skill is not a reflection of reduced intellectual capacity. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 26. The use of a foreign accent or limited English skill is not a reflection of the ability to communicate clearly and effectively in a native language. Strongly agree Agree Neutral Disagree Strongly disagree Question Title * 27. I understand that culture impacts the way that different people raise their children Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 28. Cultural competency impacts education. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 29. Cultural norms impact familial roles. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 30. Cultural norms impact gender roles. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 31. Cultural competency impacts employment. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 32. Cultural norms impact views on wellness. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 33. Cultural norms impact views on disability. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 34. Cultural norms impact views on addiction. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 35. Cultural norms impact views on treatment. Strongly Agree Agree Neutral Disagree Strongly Disagree Done