The Brain Injury Association of Vermont Programs Survey (OLD)

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* 1. How interested are you in attending a BIAVT training/education program?

Extremely interested

Very interested

Somewhat interested

Not so interested

Not at all interested

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* 2. If a CE credit were offered, how interested would you be in attending a BIAVT training/education program?

Extremely interested

Very interested

Somewhat interested

Not so interested

Not at all interested

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* 3. How often do you attend programs, trainings, and/or education classes?

A great deal

A lot

A moderate amount

A little

Not at all

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* 4. How satisfied are you with the training resources in your area?

Extremely satisfied

Very satisfied

Somewhat satisfied

Not so satisfied

Not at all satisfied

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* 5. What region/county of Vermont do you live in?

Northwest Vermont (Chittenden, Franklin, Grand Isle)

Northeast Vermont (Caledonia, Essex, Orleans)

Central Vermont (Lamoille, Orange, Washington)

Southwest Vermont (Addison, Bennington, Rutland)

Southeast Vermont (Windham, Windsor)

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* 6. What region/county of Vermont do you work in?

Northwest Vermont (Chittenden, Franklin, Grand Isle)

Northeast Vermont (Caledonia, Essex, Orleans)

Central Vermont (Lamoille, Orange, Washington)

Southwest Vermont (Addison, Bennington, Rutland)

Southeast Vermont (Windham, Windsor)

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* 7. Which of the following training topics are of interest to you? (Check all that apply)

Caregiver Education

Survivor Education

Healthcare Provider Education

Social Work Education

Alternative Medicine

Preventing Brain Injuries

Concussion Education

Emergency Medicine – Brain Injury Protocols

Legal Assistance

Other (please specify)

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* 8. What form of training would you prefer?

In-person at a shared location

On-site at your place of work

Online webinar

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* 9. How often would you be open to attending training sessions?

Once a week

Once a month

Once every three months

Once a year

Other (please specify)

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* 10. Would you or someone you know be willing to lead a training session in your expertise?

Yes

If yes, please provide contact information

The Brain Injury Association of Vermont Programs Survey (OLD)

Question Title

* 1. How interested are you in attending a BIAVT training/education program?

Question Title

* 2. If a CE credit were offered, how interested would you be in attending a BIAVT training/education program?

Question Title

* 3. How often do you attend programs, trainings, and/or education classes?

Question Title

* 4. How satisfied are you with the training resources in your area?

Question Title

* 5. What region/county of Vermont do you live in?

Question Title

* 6. What region/county of Vermont do you work in?

Question Title

* 7. Which of the following training topics are of interest to you? (Check all that apply)

Question Title

* 8. What form of training would you prefer?

Question Title

* 9. How often would you be open to attending training sessions?

Question Title

* 10. Would you or someone you know be willing to lead a training session in your expertise?

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* 11. Do you have any other comments about future BIAVT programs, trainings, or educations?

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* 12. Name (optional)

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* 13. Phone number (optional)

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* 14. Email (optional)