On-demand ASL/CC PIK Recording CE Request

This is the survey for our on-demand recordings on Zoom with ASL. (fill out every time you watch a Zoom recording).

If you have any questions you may contact Susan Pope at spope@bridgehaven.org.

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* 1. Please tell us a little about yourself:

Full Name for certificate

Organization

Title

Email Address

Best Phone Number

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* 2. I watched the following recording (complete one survey for each recording):

Substance Abuse Recovery Alongside Mental Health by Ben Jaggers

Five Stages In The Recovery Process And 10 Guiding Principles Of Recovery by Debbie Homan

Making Sense of Psychiatric Medications by Charlene McAndrews

Grief and Loss by Debby Richmond

Suicide Awareness and Prevention by Anita Whitworth

DBHDID TRIS: What is it and how does it work? by Laura Cunningham

Trauma-Informed Group Facilitation by Susan Pope

Enjoying Life: Practicing and Modeling Self-Compassion by Dianne Brewer

Could it Be? Recognizing the Signs and Symptoms of Mental Illnesses by Pat Doyle

Other (please specify)

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* 3. I completed the recording on this date:

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* 4. I watched the full recording

Yes

No

More info (Ie Tell us if you signed in multiple times from different devices. We will check your viewing history in Zoom.)

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* 5. I am interested in the following future training topics:

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* 6. Please provide any additional feedback or comments:

Thank you! We try to send out certificates once a week. If you need it sooner or have questions, contact Susan Pope at spope@bridgehaven.org