*1.Name(Required.)

*2.Organization(Required.)

*3.Type of Organization(Required.)

Resettlement Agency

Health

Mental Health

Education

Other (please specify)

*4.Title(Required.)

*5.Email(Required.)

*6.Do you work with refugees or diverse populations (language, culture, background)?(Required.)

Yes

No

7.If yes, how frequently?

Daily

Weekly

Monthly

Less than monthly

N/A

*8.What is your understanding or knowledge of the following topics?(Required.)

Not at all or very poor understanding

Little or poor understanding

Uncertain

Somewhat or good understanding

Very much or very good understanding

Migration and its impact on mental health

Not at all or very poor understanding

Little or poor understanding

Uncertain

Somewhat or good understanding

Very much or very good understanding

Common mental health concerns in refugee populations

Not at all or very poor understanding

Little or poor understanding

Uncertain

Somewhat or good understanding

Very much or very good understanding

Effective assessment and screening tools tailored for refugee mental health

Not at all or very poor understanding

Little or poor understanding

Uncertain

Somewhat or good understanding

Very much or very good understanding

Theoretical approaches for conducting therapy with refugee clients

Not at all or very poor understanding

Little or poor understanding

Uncertain

Somewhat or good understanding

Very much or very good understanding

How to work effectively with interpreters in therapy sessions

Not at all or very poor understanding

Little or poor understanding

Uncertain

Somewhat or good understanding

Very much or very good understanding

How to effectively address cultural barriers that may arise

Not at all or very poor understanding

Little or poor understanding

Uncertain

Somewhat or good understanding

Very much or very good understanding

9.What is something you hope to gain from this training?