SHARC Peer Worker Training Registration Questionnaire
1. Name:
*
Given Name
Surname
2. Contact Phone Number:
*
3. Email:
*
example@example.com
4. Have you completed this training previously?
*
Yes
No
5. Are you currently in a lived/living experience role?
*
Yes
No
6. If yes, what is your role title and which organisation do you work for?
7. If you are in a lived/living experience role, what is the status of the role?
Full-time
Part-time
Casual
Volunteer
8. How would you describe peer work?
*
9. What interests you about becoming a peer worker?
*
10. Are you comfortable utilising your lived/living experience to support others?
*
11. As one of the most important parts of peer work is how we are able to utilise our lived experience, have you been through a process of change that has helped you reflect on the distress you have experienced?
*
12. List 3 – 4 points that have been most important to you in that process
A
*
B
*
C
*
D
13. Are you currently engaged in services/treatment for support with AOD or Mental Health?
*
14. Have you completed any previous trainings or courses?
*
Thanks for completing this reflection questionnaire. We are looking forward to working with you!
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