Tennessee State Opioid Response (SOR): Opioids, Stimulants, and Overdose Prevention Training Evaluation Form Survey

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* 4. What is your county of residence? (Note: If you are not a Tennessee resident, please select "Non-TN County")

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* 5. What is your age?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 6. What is your gender?

Female

Male

I prefer to self identify:

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* 7. Please select your race(s) from the list below (check all that apply).

American Indian or Alaskan Native

Asian / Pacific Islander

Black or African American

White / Caucasian

More than one race

Other (please specify):

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* 8. Are you of Hispanic/LatinX descent?

Yes, I am Hispanic/LatinX

No, I am not Hispanic/LatinX

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* 9. Have you served or are you currently serving in the United States armed forces (any branch)?

Yes, I am currently serving in the armed forces.

Yes, I previously served in the armed forces.

No, I have never served in the armed forces.

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* 10. Which of the following best describes your role(s) in the community? (Check ALL that apply)

Law enforcement

Fire/Emergency Medical Services (EMS)

School staff

Substance Use Prevention Coalition (SUPC) member/prevention staff

Alcohol and drug treatment/recovery support staff

Social service organization staff (e.g., shelters, supportive housing)

Employer/employee assistance program (EAP) staff

Courts/probation/detention facility staff

Individual at risk of overdose

Friends, family members, sponsors, or other support persons

Medical/health provider or professional

Other (please specify)

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* 11. How did you hear about today's training? (Check ALL that apply)

Print or broadcast media advertising (e.g., flyers, posters, newsletters, radio)

Social media advertising (e.g., Twitter, Facebook, Instagram)

Internet search or website

Through a friend or family member

Through an employer or school

Through a service provider, agency, or support group (e.g., alcohol and drug treatment center, shelter, detention facility)

Word of mouth

Other (please specify)

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* 12. How would you rate the content of this training in each of the following areas?

	Excellent	Good	Okay	Not very good	Poor
Comprehensiveness of topics	Comprehensiveness of topics Excellent	Comprehensiveness of topics Good	Comprehensiveness of topics Okay	Comprehensiveness of topics Not very good	Comprehensiveness of topics Poor
Appropriate fit for the audience	Appropriate fit for the audience Excellent	Appropriate fit for the audience Good	Appropriate fit for the audience Okay	Appropriate fit for the audience Not very good	Appropriate fit for the audience Poor
Relevance to your own personal or professional role	Relevance to your own personal or professional role Excellent	Relevance to your own personal or professional role Good	Relevance to your own personal or professional role Okay	Relevance to your own personal or professional role Not very good	Relevance to your own personal or professional role Poor
Quality of training resources and visual materials	Quality of training resources and visual materials Excellent	Quality of training resources and visual materials Good	Quality of training resources and visual materials Okay	Quality of training resources and visual materials Not very good	Quality of training resources and visual materials Poor
Opportunity for questions and discussion	Opportunity for questions and discussion Excellent	Opportunity for questions and discussion Good	Opportunity for questions and discussion Okay	Opportunity for questions and discussion Not very good	Opportunity for questions and discussion Poor

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* 13. If you indicated that the training was either "not very good" or "poor" in any of the areas listed above, what was the reason for your response?

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* 14. How would you rate the trainer in each of the following areas?

	Excellent	Good	Okay	Not very good	Poor
Knowledge of the topic	Knowledge of the topic Excellent	Knowledge of the topic Good	Knowledge of the topic Okay	Knowledge of the topic Not very good	Knowledge of the topic Poor
Ability to communicate clearly	Ability to communicate clearly Excellent	Ability to communicate clearly Good	Ability to communicate clearly Okay	Ability to communicate clearly Not very good	Ability to communicate clearly Poor
Efficient management of time	Efficient management of time Excellent	Efficient management of time Good	Efficient management of time Okay	Efficient management of time Not very good	Efficient management of time Poor
Enthusiasm	Enthusiasm Excellent	Enthusiasm Good	Enthusiasm Okay	Enthusiasm Not very good	Enthusiasm Poor
Responsiveness to questions	Responsiveness to questions Excellent	Responsiveness to questions Good	Responsiveness to questions Okay	Responsiveness to questions Not very good	Responsiveness to questions Poor
Cultural competence	Cultural competence Excellent	Cultural competence Good	Cultural competence Okay	Cultural competence Not very good	Cultural competence Poor

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* 15. If you indicated that the trainer was either "not very good" or "poor" in any of the areas listed above, what was the reason for your response?

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* 16. How useful was each of the following content areas in building your knowledge or providing you with new information that you could apply in your personal or profession role(s)?

	Extremely useful	Very useful	Somewhat useful	Not very useful	Not at all useful
Understanding opioid and/or stimulant dependence	Understanding opioid and/or stimulant dependence Extremely useful	Understanding opioid and/or stimulant dependence Very useful	Understanding opioid and/or stimulant dependence Somewhat useful	Understanding opioid and/or stimulant dependence Not very useful	Understanding opioid and/or stimulant dependence Not at all useful
Recognizing risk factors, signs, and symptoms of overdose	Recognizing risk factors, signs, and symptoms of overdose Extremely useful	Recognizing risk factors, signs, and symptoms of overdose Very useful	Recognizing risk factors, signs, and symptoms of overdose Somewhat useful	Recognizing risk factors, signs, and symptoms of overdose Not very useful	Recognizing risk factors, signs, and symptoms of overdose Not at all useful
How to administer and store naloxone	How to administer and store naloxone Extremely useful	How to administer and store naloxone Very useful	How to administer and store naloxone Somewhat useful	How to administer and store naloxone Not very useful	How to administer and store naloxone Not at all useful
How to assist someone immediately following naloxone administration (e.g., aftercare steps)	How to assist someone immediately following naloxone administration (e.g., aftercare steps) Extremely useful	How to assist someone immediately following naloxone administration (e.g., aftercare steps) Very useful	How to assist someone immediately following naloxone administration (e.g., aftercare steps) Somewhat useful	How to assist someone immediately following naloxone administration (e.g., aftercare steps) Not very useful	How to assist someone immediately following naloxone administration (e.g., aftercare steps) Not at all useful
How to offer social support to someone who is struggling with a substance use disorder	How to offer social support to someone who is struggling with a substance use disorder Extremely useful	How to offer social support to someone who is struggling with a substance use disorder Very useful	How to offer social support to someone who is struggling with a substance use disorder Somewhat useful	How to offer social support to someone who is struggling with a substance use disorder Not very useful	How to offer social support to someone who is struggling with a substance use disorder Not at all useful
Understanding compassion fatigue	Understanding compassion fatigue Extremely useful	Understanding compassion fatigue Very useful	Understanding compassion fatigue Somewhat useful	Understanding compassion fatigue Not very useful	Understanding compassion fatigue Not at all useful
How to connect someone with helping resources in the community	How to connect someone with helping resources in the community Extremely useful	How to connect someone with helping resources in the community Very useful	How to connect someone with helping resources in the community Somewhat useful	How to connect someone with helping resources in the community Not very useful	How to connect someone with helping resources in the community Not at all useful

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* 17. Based on the information presented in this training, how confident do you feel about your ability to administer naloxone to someone who is unresponsive due to possible opioid overdose?

Extremely confident

Very confident

Somewhat confident

Not very confident

Not at all confident

Unsure

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* 18. In your personal or professional role, how likely is it that you might encounter someone who is experiencing an opioid overdose in the next 12- to 18-month period?

Extremely likely

Very likely

Somewhat likely

Not very likely

Not at all likely

Unsure

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* 19. Please use the space below to share any additional comments or recommendations that you think might be helpful to strengthen the quality of this training (optional).

Tennessee State Opioid Response (SOR):
Opioids, Stimulants, and Overdose Prevention Training Evaluation Form

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* 1. Please select the ROPS ID/name of your ROPS trainer.

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* 2. Please select the date of the training you attended.

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* 3. Was the training you attended online or in-person?

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* 4. What is your county of residence? (Note: If you are not a Tennessee resident, please select "Non-TN County")

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* 5. What is your age?

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* 6. What is your gender?

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* 7. Please select your race(s) from the list below (check all that apply).

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* 8. Are you of Hispanic/LatinX descent?

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* 9. Have you served or are you currently serving in the United States armed forces (any branch)?

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* 10. Which of the following best describes your role(s) in the community? (Check ALL that apply)

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* 11. How did you hear about today's training? (Check ALL that apply)

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* 12. How would you rate the content of this training in each of the following areas?

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* 13. If you indicated that the training was either "not very good" or "poor" in any of the areas listed above, what was the reason for your response?

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* 14. How would you rate the trainer in each of the following areas?

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* 15. If you indicated that the trainer was either "not very good" or "poor" in any of the areas listed above, what was the reason for your response?

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* 16. How useful was each of the following content areas in building your knowledge or providing you with new information that you could apply in your personal or profession role(s)?

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* 17. Based on the information presented in this training, how confident do you feel about your ability to administer naloxone to someone who is unresponsive due to possible opioid overdose?

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* 18. In your personal or professional role, how likely is it that you might encounter someone who is experiencing an opioid overdose in the next 12- to 18-month period?

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* 19. Please use the space below to share any additional comments or recommendations that you think might be helpful to strengthen the quality of this training (optional).