STUDENT INFO: GB22-04 Bundle – FOUR – 2025 If you are human, leave this field blank.Instructions3 easy steps: Complete the STUDENT INFORMATION and the COURSE EVALUATION sections. Complete the ANSWER SHEET. PRINT the Completion Certificate for your records. Instructions Course Material and Questions You should have already downloaded and reviewed the Course Material and Questions packet for this course. The Course Material and Questions packet is a free download. You will use this online Answer Sheet to answer the Questions in the Course Material. Online Answer Sheet Answer all of the questions. If you have answered at least 70% of the questions correctly, you will then see and be automatically emailed a CE Completion Certificate. Student InfoStudent Information Full Name: *Street Address *City *State or Province *ZIP Code (or Postal Code) *Email Address: *Please carefully enter your email address, which we will use to send you the Completion Certificate.Confirm Email Address: *SUDRC ID Number: *For the SUDRC ID No., enter your SUDRC number, which shows that you are a CADTP-registered counselor. Or, if you are completing this course per the requirement to apply for an Initial Registration, please enter "SUDRC" as your SUDRC number.What type of device you are using to complete this online Answer Sheet? *Desktop computerLaptop computerTabletSmart phoneOtherI do not knowWhich Web browser are you using to complete this online Answer Sheet form? *Google ChromeSafariMicrosoft EdgeFirefoxOperaInternet ExplorerBraveOtherI do not knowWhy are you completing this course? *Please select all that apply.Licensing agency requirementCertification agency requirementRegistration requirementEmployer requirementContinuing Education requirementLicense or certification renewal requirementOther agency requirementOther reasonName of agency requiring completion *Please provide the name of the agency requiring completion of the course. If it is for a different reason, please answer, "Not applicable."Do you hold professional healthcare and/or counseling Licenses / Certifications?If applicable, please identify professional healthcare license(s) and/or certification(s) that you currently hold, and include the name(s) of the agency or agencies. Do you hold internationally-awarded Breining Institute credentials?If you have earned one or more internationally-awarded credentials from Breining Institute, please select which ones below (select all that apply):Registered Addiction Specialist (RAS)Advanced RAS - Level II (RAS II)Advanced RAS - Level III (RAS III)Masters Level - RAS (M-RAS)Clinical Supervisor Credential (CSC)Master Counselor in Addictions (MCA)Certified Women's Treatment Specialist (CWTS)Medication-Assisted Treatment Counselor (MATC)Forensic Addictions Counselor (FAC)Certified Co-occurring Disorders Specialist (CCDS)Certified Case Manager Interventionist - Associate Level (CCMI-A)Certified Case Manager Interventionist (CCMI)Certified Case Manager Interventionist - Masters Level (CCMI-M)Course EvaluationCourse EvaluationDid the course cover the content you were expecting? *YesIt covered some of the information expectedNoOtherRate the overall value of the information presented in this course. *Extremely valuableSomewhat valuableNot very valuableOtherRate your overall experience of taking this online course. *5 stars: Excellent4 stars: Very good3 stars: Average2 stars: Below average1 star: Not goodDo you have any comments or suggestions about this course?Your evaluation of this online course is important to Breining Institute. We will use your evaluation to improve our future offerings of this and other online education courses. How did you find out about this course? *Friend, colleague or co-workerSocial media (such as Facebook, LinkedIn)Program Supervisor or ManagerLicensing or Certification agencyOtherYears in AOD/SUD and/or Healthcare Profession *How long have you been providing professional AOD/SUD counseling services, or have been in the healthcare profession?Less than 1 year1 - 3 years3 - 5 years5 - 10 years10 - 15 years15 - 20 yearsMore than 20 yearsAnswer SheetYour next step is to complete the online ANSWER SHEET. You will have 120 minutes to complete the ANSWER SHEET. Select the “Submit” button below when you are ready to complete the online Answer Sheet. Captcha *reCAPTCHA is required.Submit