For the purposes of the National Training Centers' evaluation, we need a little information from you before you start this e-learning module. 

The link to the e-learning module is provided at the end of the survey. 

* 1. Please provide the zip code for your primary workplace (e.g., where you work):

* 2. Which of the following best describes your workplace setting? (select one)

* 3. How many years have you worked in the field of family planning? (select one)

* 4. What best describes your primary role at your workplace? (select one)

* 5. What is your organization’s Title X affiliation (select one)

* 6. Where did you hear about the training? (select all that apply)

* 7. Are you Hispanic or Latino? (select one, optional)

* 8. What is your racial background? (select one, optional)

* 9. What is your gender? (select one, optional)