skill-clinics

I would like to learn *

Knowledge areas you would like to have.

I wish I could *

Skills you would like to have.

In my current position I really need to learn how to: *

Will you tell us a little about yourself?

Yes
No

I have been working in prevention

I currently work in the state of:

I am a Certified Prevention Professional

Yes
No

Will you answer a few more questions specific to the training you have received?

Yes
No

Domain One- How much training have you received in:

Domain Two- How much training have you received in:

	None	Very Little	Some	Alot
Group facilitation techniques	NoneGroup facilitation techniques None	Very LittleGroup facilitation techniques Very Little	SomeGroup facilitation techniques Some	AlotGroup facilitation techniques Alot
Learning styles, instructional strategies, and presentation methods	NoneLearning styles, instructional strategies, and presentation methods None	Very LittleLearning styles, instructional strategies, and presentation methods Very Little	SomeLearning styles, instructional strategies, and presentation methods Some	AlotLearning styles, instructional strategies, and presentation methods Alot
Working with diverse populations	NoneWorking with diverse populations None	Very LittleWorking with diverse populations Very Little	SomeWorking with diverse populations Some	AlotWorking with diverse populations Alot
Prevention program best practices	NonePrevention program best practices None	Very LittlePrevention program best practices Very Little	SomePrevention program best practices Some	AlotPrevention program best practices Alot
Current behavioral health trends and research	NoneCurrent behavioral health trends and research None	Very LittleCurrent behavioral health trends and research Very Little	SomeCurrent behavioral health trends and research Some	AlotCurrent behavioral health trends and research Alot
Risk and Protective Factor Theory	NoneRisk and Protective Factor Theory None	Very LittleRisk and Protective Factor Theory Very Little	SomeRisk and Protective Factor Theory Some	AlotRisk and Protective Factor Theory Alot
Providing community technical assistance	NoneProviding community technical assistance None	Very LittleProviding community technical assistance Very Little	SomeProviding community technical assistance Some	AlotProviding community technical assistance Alot
Classroom management	NoneClassroom management None	Very LittleClassroom management Very Little	SomeClassroom management Some	AlotClassroom management Alot
Alternative activities	NoneAlternative activities None	Very LittleAlternative activities Very Little	SomeAlternative activities Some	AlotAlternative activities Alot

Domain Three- How much training have you received in:

	None	Very Little	Some	Alot
Media literacy	NoneMedia literacy None	Very LittleMedia literacy Very Little	SomeMedia literacy Some	AlotMedia literacy Alot
Media advocacy	NoneMedia advocacy None	Very LittleMedia advocacy Very Little	SomeMedia advocacy Some	AlotMedia advocacy Alot
Social Marketing	NoneSocial Marketing None	Very LittleSocial Marketing Very Little	SomeSocial Marketing Some	AlotSocial Marketing Alot
Media strategies	NoneMedia strategies None	Very LittleMedia strategies Very Little	SomeMedia strategies Some	AlotMedia strategies Alot
Social Norms Campaign	NoneSocial Norms Campaign None	Very LittleSocial Norms Campaign Very Little	SomeSocial Norms Campaign Some	AlotSocial Norms Campaign Alot
Copyright laws and reference procedures	NoneCopyright laws and reference procedures None	Very LittleCopyright laws and reference procedures Very Little	SomeCopyright laws and reference procedures Some	AlotCopyright laws and reference procedures Alot
Networking and outreach to community partners	NoneNetworking and outreach to community partners None	Very LittleNetworking and outreach to community partners Very Little	SomeNetworking and outreach to community partners Some	AlotNetworking and outreach to community partners Alot
Facilitating focus groups	NoneFacilitating focus groups None	Very LittleFacilitating focus groups Very Little	SomeFacilitating focus groups Some	AlotFacilitating focus groups Alot
Engaging the media	NoneEngaging the media None	Very LittleEngaging the media Very Little	SomeEngaging the media Some	AlotEngaging the media Alot
Planning a media campaign	NonePlanning a media campaign None	Very LittlePlanning a media campaign Very Little	SomePlanning a media campaign Some	AlotPlanning a media campaign Alot
Story telling	NoneStory telling None	Very LittleStory telling Very Little	SomeStory telling Some	AlotStory telling Alot
Leading discussions	NoneLeading discussions None	Very LittleLeading discussions Very Little	SomeLeading discussions Some	AlotLeading discussions Alot
Appropriate use of visual aids	NoneAppropriate use of visual aids None	Very LittleAppropriate use of visual aids Very Little	SomeAppropriate use of visual aids Some	AlotAppropriate use of visual aids Alot
Public presentations	NonePublic presentations None	Very LittlePublic presentations Very Little	SomePublic presentations Some	AlotPublic presentations Alot
Building audience rapport	NoneBuilding audience rapport None	Very LittleBuilding audience rapport Very Little	SomeBuilding audience rapport Some	AlotBuilding audience rapport Alot
Learning styles	NoneLearning styles None	Very LittleLearning styles Very Little	SomeLearning styles Some	AlotLearning styles Alot
Creating meeting agendas	NoneCreating meeting agendas None	Very LittleCreating meeting agendas Very Little	SomeCreating meeting agendas Some	AlotCreating meeting agendas Alot
Creating comfortable environments	NoneCreating comfortable environments None	Very LittleCreating comfortable environments Very Little	SomeCreating comfortable environments Some	AlotCreating comfortable environments Alot
Time management	NoneTime management None	Very LittleTime management Very Little	SomeTime management Some	AlotTime management Alot
Group processes	NoneGroup processes None	Very LittleGroup processes Very Little	SomeGroup processes Some	AlotGroup processes Alot
Training and group facilitation techniques	NoneTraining and group facilitation techniques None	Very LittleTraining and group facilitation techniques Very Little	SomeTraining and group facilitation techniques Some	AlotTraining and group facilitation techniques Alot
Federal and local confidentiality laws	NoneFederal and local confidentiality laws None	Very LittleFederal and local confidentiality laws Very Little	SomeFederal and local confidentiality laws Some	AlotFederal and local confidentiality laws Alot

Domain Four- How much training have you received in:

	None	Very Little	Some	Alot
Strategies for engaging community members	NoneStrategies for engaging community members None	Very LittleStrategies for engaging community members Very Little	SomeStrategies for engaging community members Some	AlotStrategies for engaging community members Alot
Community sector representatives	NoneCommunity sector representatives None	Very LittleCommunity sector representatives Very Little	SomeCommunity sector representatives Some	AlotCommunity sector representatives Alot
Identifying current and emerging community leaders	NoneIdentifying current and emerging community leaders None	Very LittleIdentifying current and emerging community leaders Very Little	SomeIdentifying current and emerging community leaders Some	AlotIdentifying current and emerging community leaders Alot
Role of community ownership	NoneRole of community ownership None	Very LittleRole of community ownership Very Little	SomeRole of community ownership Some	AlotRole of community ownership Alot
Fostering shared leadership	NoneFostering shared leadership None	Very LittleFostering shared leadership Very Little	SomeFostering shared leadership Some	AlotFostering shared leadership Alot
Transferring ownership of prevention programs to the community	NoneTransferring ownership of prevention programs to the community None	Very LittleTransferring ownership of prevention programs to the community Very Little	SomeTransferring ownership of prevention programs to the community Some	AlotTransferring ownership of prevention programs to the community Alot
Training, mentoring, and organizing community groups and volunteers	NoneTraining, mentoring, and organizing community groups and volunteers None	Very LittleTraining, mentoring, and organizing community groups and volunteers Very Little	SomeTraining, mentoring, and organizing community groups and volunteers Some	AlotTraining, mentoring, and organizing community groups and volunteers Alot
Conducting strategic planning activities	NoneConducting strategic planning activities None	Very LittleConducting strategic planning activities Very Little	SomeConducting strategic planning activities Some	AlotConducting strategic planning activities Alot
Building sustainable relationships and alliances	NoneBuilding sustainable relationships and alliances None	Very LittleBuilding sustainable relationships and alliances Very Little	SomeBuilding sustainable relationships and alliances Some	AlotBuilding sustainable relationships and alliances Alot
Elements of formal agreements	NoneElements of formal agreements None	Very LittleElements of formal agreements Very Little	SomeElements of formal agreements Some	AlotElements of formal agreements Alot
Behavioral health promotion	NoneBehavioral health promotion None	Very LittleBehavioral health promotion Very Little	SomeBehavioral health promotion Some	AlotBehavioral health promotion Alot
Advocacy and public health promotion	NoneAdvocacy and public health promotion None	Very LittleAdvocacy and public health promotion Very Little	SomeAdvocacy and public health promotion Some	AlotAdvocacy and public health promotion Alot
	NoneNone	Very LittleVery Little	SomeSome	AlotAlot

Domain Five- How much training have you received in:

	None	Very Little	Some	Alot
Environmental change strategies	NoneEnvironmental change strategies None	Very LittleEnvironmental change strategies Very Little	SomeEnvironmental change strategies Some	AlotEnvironmental change strategies Alot
Political processes	NonePolitical processes None	Very LittlePolitical processes Very Little	SomePolitical processes Some	AlotPolitical processes Alot
Socioecological systems theories	NoneSocioecological systems theories None	Very LittleSocioecological systems theories Very Little	SomeSocioecological systems theories Some	AlotSocioecological systems theories Alot
Theory of change	NoneTheory of change None	Very LittleTheory of change Very Little	SomeTheory of change Some	AlotTheory of change Alot
Working with political, judicial, and law enforcement systems	NoneWorking with political, judicial, and law enforcement systems None	Very LittleWorking with political, judicial, and law enforcement systems Very Little	SomeWorking with political, judicial, and law enforcement systems Some	AlotWorking with political, judicial, and law enforcement systems Alot
Networking and outreach to policy makers	NoneNetworking and outreach to policy makers None	Very LittleNetworking and outreach to policy makers Very Little	SomeNetworking and outreach to policy makers Some	AlotNetworking and outreach to policy makers Alot
Working within local political systems	NoneWorking within local political systems None	Very LittleWorking within local political systems Very Little	SomeWorking within local political systems Some	AlotWorking within local political systems Alot
Networking and outreach to community stakeholders	NoneNetworking and outreach to community stakeholders None	Very LittleNetworking and outreach to community stakeholders Very Little	SomeNetworking and outreach to community stakeholders Some	AlotNetworking and outreach to community stakeholders Alot
Identifying and engaging change agents and policy makers	NoneIdentifying and engaging change agents and policy makers None	Very LittleIdentifying and engaging change agents and policy makers Very Little	SomeIdentifying and engaging change agents and policy makers Some	AlotIdentifying and engaging change agents and policy makers Alot
Engaging and managing volunteers	NoneEngaging and managing volunteers None	Very LittleEngaging and managing volunteers Very Little	SomeEngaging and managing volunteers Some	AlotEngaging and managing volunteers Alot
Youth and Adult Partnerships	NoneYouth and Adult Partnerships None	Very LittleYouth and Adult Partnerships Very Little	SomeYouth and Adult Partnerships Some	AlotYouth and Adult Partnerships Alot

Domain Six- How much training have you received in:

Please add me to the mailing list for information about future training opportunities.

Yes
No

First Name

Last Name

Email

What else would you like to learn about?

The best way to serve is to first ask “what do YOU need”?

Thank you in advance for your valued information.

Professional development is ongoing and we are always seeking new resources for our members.

	None	Very Little	Some	Alot
Components of effective prevention program planning	NoneComponents of effective prevention program planning None	Very LittleComponents of effective prevention program planning Very Little	SomeComponents of effective prevention program planning Some	AlotComponents of effective prevention program planning Alot
Current evidence-based prevention interventions in behavioral health	NoneCurrent evidence-based prevention interventions in behavioral health None	Very LittleCurrent evidence-based prevention interventions in behavioral health Very Little	SomeCurrent evidence-based prevention interventions in behavioral health Some	AlotCurrent evidence-based prevention interventions in behavioral health Alot
Demonstrating cultural competence and sensitivity	NoneDemonstrating cultural competence and sensitivity None	Very LittleDemonstrating cultural competence and sensitivity Very Little	SomeDemonstrating cultural competence and sensitivity Some	AlotDemonstrating cultural competence and sensitivity Alot
Personal biases, beliefs, limitations, and cultural assumptions	NonePersonal biases, beliefs, limitations, and cultural assumptions None	Very LittlePersonal biases, beliefs, limitations, and cultural assumptions Very Little	SomePersonal biases, beliefs, limitations, and cultural assumptions Some	AlotPersonal biases, beliefs, limitations, and cultural assumptions Alot
The process of addiction and its effect on the brain	NoneThe process of addiction and its effect on the brain None	Very LittleThe process of addiction and its effect on the brain Very Little	SomeThe process of addiction and its effect on the brain Some	AlotThe process of addiction and its effect on the brain Alot
Effects of drugs on the brain and the body	NoneEffects of drugs on the brain and the body None	Very LittleEffects of drugs on the brain and the body Very Little	SomeEffects of drugs on the brain and the body Some	AlotEffects of drugs on the brain and the body Alot
Identifying signs, symptoms, and progressive stages of addiction	NoneIdentifying signs, symptoms, and progressive stages of addiction None	Very LittleIdentifying signs, symptoms, and progressive stages of addiction Very Little	SomeIdentifying signs, symptoms, and progressive stages of addiction Some	AlotIdentifying signs, symptoms, and progressive stages of addiction Alot
Co-occurring disorders	NoneCo-occurring disorders None	Very LittleCo-occurring disorders Very Little	SomeCo-occurring disorders Some	AlotCo-occurring disorders Alot
The effects of mental, emotional, and behavioral health on the family	NoneThe effects of mental, emotional, and behavioral health on the family None	Very LittleThe effects of mental, emotional, and behavioral health on the family Very Little	SomeThe effects of mental, emotional, and behavioral health on the family Some	AlotThe effects of mental, emotional, and behavioral health on the family Alot
Brief intervention and referral	NoneBrief intervention and referral None	Very LittleBrief intervention and referral Very Little	SomeBrief intervention and referral Some	AlotBrief intervention and referral Alot
Cultural characteristics that influence attitudes, behaviors, and perceptions that relate to substance use and mental health	NoneCultural characteristics that influence attitudes, behaviors, and perceptions that relate to substance use and mental health None	Very LittleCultural characteristics that influence attitudes, behaviors, and perceptions that relate to substance use and mental health Very Little	SomeCultural characteristics that influence attitudes, behaviors, and perceptions that relate to substance use and mental health Some	AlotCultural characteristics that influence attitudes, behaviors, and perceptions that relate to substance use and mental health Alot
Health disparities that impact diverse communities	NoneHealth disparities that impact diverse communities None	Very LittleHealth disparities that impact diverse communities Very Little	SomeHealth disparities that impact diverse communities Some	AlotHealth disparities that impact diverse communities Alot
Biases, beliefs, and cultural assumptions related to addictions	NoneBiases, beliefs, and cultural assumptions related to addictions None	Very LittleBiases, beliefs, and cultural assumptions related to addictions Very Little	SomeBiases, beliefs, and cultural assumptions related to addictions Some	AlotBiases, beliefs, and cultural assumptions related to addictions Alot
Principles of prevention ethics	NonePrinciples of prevention ethics None	Very LittlePrinciples of prevention ethics Very Little	SomePrinciples of prevention ethics Some	AlotPrinciples of prevention ethics Alot
Demonstrating ethical decision-making in prevention	NoneDemonstrating ethical decision-making in prevention None	Very LittleDemonstrating ethical decision-making in prevention Very Little	SomeDemonstrating ethical decision-making in prevention Some	AlotDemonstrating ethical decision-making in prevention Alot
Obtaining informed consent of participants	NoneObtaining informed consent of participants None	Very LittleObtaining informed consent of participants Very Little	SomeObtaining informed consent of participants Some	AlotObtaining informed consent of participants Alot
Advocacy vs Lobbying	NoneAdvocacy vs Lobbying None	Very LittleAdvocacy vs Lobbying Very Little	SomeAdvocacy vs Lobbying Some	AlotAdvocacy vs Lobbying Alot
Grant writing	NoneGrant writing None	Very LittleGrant writing Very Little	SomeGrant writing Some	AlotGrant writing Alot
Regulations and practices regarding ethical fundraising	NoneRegulations and practices regarding ethical fundraising None	Very LittleRegulations and practices regarding ethical fundraising Very Little	SomeRegulations and practices regarding ethical fundraising Some	AlotRegulations and practices regarding ethical fundraising Alot
Conflicts of interest	NoneConflicts of interest None	Very LittleConflicts of interest Very Little	SomeConflicts of interest Some	AlotConflicts of interest Alot
Healthy living strategies	NoneHealthy living strategies None	Very LittleHealthy living strategies Very Little	SomeHealthy living strategies Some	AlotHealthy living strategies Alot
Creating and following a work plan	NoneCreating and following a work plan None	Very LittleCreating and following a work plan Very Little	SomeCreating and following a work plan Some	AlotCreating and following a work plan Alot
Professional networking and relationship building	NoneProfessional networking and relationship building None	Very LittleProfessional networking and relationship building Very Little	SomeProfessional networking and relationship building Some	AlotProfessional networking and relationship building Alot