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Breathe/Refresher Post-Training Assessment 2025-2027
*
1.
Which Breathe training did you attend?
(Required.)
Initial Breathe Training (1+ Hour)
Breathe Refresher (1 Hour)
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2.
What was the format of the Breathe Training?
(Required.)
In-Person
Virtual
Watched Recorded Training
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3.
Date Breathe training was held:
(Required.)
Date
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
*
4.
What county was the Breathe Training held in?
(Required.)
ADAM
ALLEN
BARTHOLOMEW
BENTON
BLACKFORD
BOONE
BROWN
CARROLL
CASS
CLARK
CLAY
CLINTON
CRAWFORD
DAVIESS
DEARBORN
DECATUR
DEKALB
DELWARE
DUBOIS
ELKHART
FAYETTE
FLOYD
FOUNTAIN
FRANKLIN
FULTON
GIBSON
GRANT
GREENE
HAMILTON
HANCOCK
HARRISON
HENDRICKS
HENRY
HOWARD
HUNTINGTON
JACKSON
JASPER
JAY
JEFFERSON
JENNINGS
JOHNSON
KNOX
KOSCIUSKO
LAGRANGE
LAKE
LAPORTE
LAWRENCE
MADISON
MARION
MARSHALL
MARTIN
MIAMI
MONROE
MONTGOMERY
MORGAN
NEWTON
NOBLE
OHIO
ORANGE
OWEN
PARKE
PERRY
PIKE
PORTER
POSEY
PULASKI
PUTNAM
RENDOLPH
RIPLEY
RUSH
ST. JOSEPH
SCOTT
SHELBY
SPENCER
STARKE
STEUBEN
SULLIVAN
SWITZERLAND
TIPPECANOE
TIPTON
UNION
VANDERBURGH
VERMILLION
VIGO
WABASH
WARREN
WARRICK
WASHINGTON
WAYNE
WELLS
WHITE
WHITLEY
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5.
Would you recommend this training to others?
(Required.)
Yes
No
6.
What was your favorite part of the Breathe Training?
7.
What was your least favorite part of the Breathe Training?
8.
After completing the Breathe Training, how prepared do you feel to discuss SMOKING with parents/caregivers?
Very prepared
Somewhat prepared
Neutral
Not very prepared
Extremely unprepared
9.
After completing the Breathe Training, how prepared do you feel to discuss VAPING with parents/caregivers?
Very prepared
Somewhat prepared
Neutral
Not very prepared
Extremely unprepared
10.
After completing the Breathe Training, how prepared do you feel to discuss children's exposure to second and thirdhand smoke/vapor with parents/caregivers?
Very prepared
Somewhat prepared
Neutral
Not very prepared
Extremely unprepared