Recovery Coaches in the Emergency Department Training
Evaluation Forms
ADAP Workforce Development Form
W1. Your credentials (select all that apply)
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Apprentice Addictions Professional
Certified Alcohol & Drug Counselor
Licensed Alcohol & Drug Counselor
Certified Prevention Specialist
Licensed Social Worker
Licensed Mental Health Clinican
Licensed Marriage & Family Therapist
Working towards licensure or certification
Recovery Coach
Other
W2. Your Highest Level of Education
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Doctorate
Medical
Master
Bachelor
Associate
High School or GED
Below High School
Other
W3. This event has INCREASED my knowledge and/or skill. Note: 5 being strongly agree, 1 being strongly disagree.
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5-Strongly Agree
4-Agree
3-Neither Agree nor Disagree
2-Disagree
1-Strongly Disagree
W4. What is the best thing about this training?
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W5. What is one thing you would change?
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Trainer Evaluations
Please let us know your thoughts on our trainers and their trainings
Trainer: Vini Emery Subject: Intro to Recovery Coaching in the ED On a scale of 1-10, 1 being very poor and 10 being outstanding, how would you rate the trainer?
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1 - Very Poor
2 - Poor
3 - Below Average
4 - Mediocre
5 - Average
6 - Above Average
7 - Good
8 - Very Good
9 - Excellent
10 - Outstanding
Do you have any additional comments about the trainer or the course material?
Trainer: Geoff Butler Subject: Practical and Protocols On a scale of 1-10, 1 being very poor and 10 being outstanding, how would you rate the trainer?
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1 - Very Poor
2 - Poor
3 - Below Average
4 - Mediocre
5 - Average
6 - Above Average
7 - Good
8 - Very Good
9 - Excellent
10 - Outstanding
Do you have any additional comments about the trainer or the course material?
Trainer: Julea Larsen Subject: Resource Provision On a scale of 1-10, 1 being very poor and 10 being outstanding, how would you rate the trainer?
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1 - Very Poor
2 - Poor
3 - Below Average
4 - Mediocre
5 - Average
6 - Above Average
7 - Good
8 - Very Good
9 - Excellent
10 - Outstanding
Do you have any additional comments about the trainer or the course material?
Submit
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