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Breathe/Refresher Pre-Training Assessment 2025-2027

1.Which Breathe training are you attending?(Required.)
2.What is the format of the Breathe Training?(Required.)
3.Date Breathe training is being held:(Required.)
Date 
4.What county is the Breathe training being held in?(Required.)
5.Have you had any previous training on tobacco/smoking/vaping (including previous Breathe trainings)?
6.How prepared do you feel to discuss SMOKING with parents/caregivers?
7.How prepared do you feel to discuss VAPING with parents/caregivers?
8.How prepared do you feel to discuss children's exposure to second and thirdhand smoke/vapor with parents/caregivers?
9.Have you ever shared smoking/vaping education or cessation resources with parents (including Breathe materials, if you were previously trained)? Check all that apply.
10.Do you have any questions about smoking/vaping? Or is there anything specific you hope to learn?