Washington County Needs Assessment 2017

1. Demographics

Thank you for taking a few moments to complete this important survey. Your responses will help us improve trainings in the future.

Question Title

1. I am participating in my capacity as a(n):

teacher or school employee

home visitor

advocate

lawyer, judge, or guardian ad litem

case manager

childcare provider

mental health professional

law enforcement officer

health care professional

DHHS employee

parent/caregiver

Other (please specify)

Question Title

2. Which agency do you represent?

Question Title

3. Gender:

Female

Male

Other (please specify)

Washington County Needs Assessment 2017

1. Demographics

Question Title

1. I am participating in my capacity as a(n):

Question Title

2. Which agency do you represent?

Question Title

3. Gender:

Question Title

4. How many years of experience do you have in your field?

Question Title

5. Please list any committees or community groups to which you belong.

Question Title

* 1. I am participating in my capacity as a(n):

Question Title

* 2. Which agency do you represent?

Question Title

* 3. Gender:

Question Title

* 4. How many years of experience do you have in your field?

Question Title

* 5. Please list any committees or community groups to which you belong.

1. I am participating in my capacity as a(n):

2. Which agency do you represent?

3. Gender:

4. How many years of experience do you have in your field?

5. Please list any committees or community groups to which you belong.