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Resilience Follow-Up
1.
I know my ACE Score.
Yes
No
One of the key messages from the film is that Adverse Childhood Experiences are common in the general population. Completing the ACE Survey gives each person a frame of reference for compassionate understanding of self, family members, friends, coworkers, etc.
ACEs Questionnaire
2.
I work in the field of (check all that apply):
Business
Philanthropy
Family Support
Health Care
Behavioral Health
Social Services
Communities of Faith
Preschool and/or Child Care
K-12 Education
Post-Secondary Education
Youth Programs
Justice/Law Enforcement
Government/Public Policy
Art, Recreation, Leisure
Other (please specify)
3.
I want to strengthen my connections with (top three):
Business
Philanthropy
Family Support
Health Care
Behavioral Health
Social Services
Communities of Faith
Preschool and/or Child Care
K-12 Education
Post-Secondary Education
Youth Progams
Juvenile Justice/Law Enforcement
Government/Public Policy
Art, Recreation & Leisure
Other (please specify)
4.
I would like to be informed about events and opportunities in the following communities (check all that apply):
Santa Maria Valley
Santa Ynez Valley
Lompoc
Goleta/Isla Vista
Santa Barbara
Carpinteria
5.
I am interested in the following areas (check all that apply):
Additional screenings of the film "Resilience"
Training on resilience and protective factors
Training on trauma-informed systems of care
Becoming a trauma-informed organization
Practical tools for coping, healing and recovery
Networking and cross-sector collaboration
Developing a Santa Barbara County ACES and resiliency initiative
6.
My #1 priority would be to bring ACES science to (choose one):
Parents
Community-based non-profits
Health Care Professionals
Early Care & Education/Child Care Providers
Teachers
Drug & Alcohol Treatment Providers
Mental Health Professionals
Faith Communities
Justice/Law Enforcement
Child Welfare Services
Domestic Violence and Sexual Assault Programs
Philanthropists/Charitable Foundations
Government/Policy Makers
Other (please specify)
7.
If you wish to be informed and/or invited to participate in future opportunities, please enter your contact information below:
Name:
Email:
8.
Comments/Inquiries:
Additional Comments or inquiries may be directed to KIDS Network/CAPC by contacting Gloria Munoz at
g.munoz@sbcsocialserv.org