{"id":18736,"date":"2021-03-11T10:16:08","date_gmt":"2021-03-11T18:16:08","guid":{"rendered":"https:\/\/www.breining.edu\/?page_id=18736"},"modified":"2021-03-18T06:38:58","modified_gmt":"2021-03-18T13:38:58","slug":"course-evaluation-ccmi-module-3-professionalism-ethics-and-self-care","status":"publish","type":"page","link":"https:\/\/www.breining.edu\/index.php\/online-continuing-education-ce\/course-evaluation-ccmi-module-3-professionalism-ethics-and-self-care\/","title":{"rendered":"Course Evaluation: CCMI Module 3 &#8211; Professionalism, Ethics and Self Care"},"content":{"rendered":"<form method=\"post\" enctype=\"multipart\/form-data\" id=\"vfbp-form-59\" class=\"vfbp-form\"><div style=\"display:none;\"><label for=\"vfbp-EMAIL-AN8fuQyoDLXem\">If you are human, leave this field blank.<\/label><input size=\"25\" autocomplete=\"off\" type=\"text\" name=\"vfbp-EMAIL-AN8fuQyoDLXem\" value=\"\" id=\"\"><\/div><input type=\"hidden\" name=\"_vfb-timestamp-59\" value=\"1777507123\" id=\"\"><input type=\"hidden\" name=\"_vfb-form-id\" value=\"59\" id=\"\"><section class=\"vfb-page-section\"><h3 class=\"vfb-page-title\">Student Information <span class=\"vfb-required-asterisk\">*<\/span><\/h3><div class=\"vfb-col-12 vfb-fieldType-page-break\" id=\"vfbField1646\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-instructions\" id=\"vfbField1647\"><div class=\"vfb-form-group\"><label for=\"vfb-field-1647\" class=\"vfb-control-label\"><\/label><div class=\"\"><h3>This Course Evaluation form is for healthcare professionals to be awarded continuing education (CE) credit for completing the following course:<\/h3>\n<h2 class=\"has-vivid-red-color has-text-color\"><span style=\"color: #ff0000;\">CCMI Module 3 \u2013 Professionalism, Ethics and Self-Care<\/span><br \/>\n<span style=\"color: #ff0000;\">25 hours CE Credit &#8211; March 2021<\/span><\/h2>\n<h3 class=\"has-very-dark-gray-color has-text-color has-vivid-red-color\"><strong>3 easy steps:<\/strong><\/h3>\n<ol>\n<li>ATTEND the ONLINE Course.<\/li>\n<li>ANSWER the Questions within this Course Evaluation form.<\/li>\n<li>Select the SUBMIT button after you have completed both sections of the Course Evaluation form.<\/li>\n<\/ol>\n<p>PLEASE NOTE: This Course Evaluation form will only be available for, and must be completed within, 7 days after the presentation of the Course.<\/p>\n<h3><span style=\"color: #ff0000;\">Please complete this Course Evaluation form carefully and completely to insure you receive CE Credit.<\/span><\/h3>\n<\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-instructions\" id=\"vfbField1648\"><div class=\"vfb-form-group\"><label for=\"vfb-field-1648\" class=\"vfb-control-label\"><\/label><div class=\"\"><p>This Course Evaluation form is divided into two sections:<\/p>\n<p>1. Student information, and<br \/>\n2. CE Course Evaluation Questions.<\/p>\n<p>After we receive and review the Course Evaluation form, a CE Completion Certificate will be emailed to you, typically within 5 business days.<\/p>\n<\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><div class=\"\">Section 1: Student Information<\/div><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField1649\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField1650\"><div class=\"vfb-form-group\"><label for=\"vfb-field-1650\" class=\"vfb-control-label\">Full Name: <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-1650\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-1650\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField1651\"><div class=\"vfb-form-group\"><label for=\"vfb-field-1651\" class=\"vfb-control-label\">Street Address <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-1651\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-1651\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField1652\"><div class=\"vfb-form-group\"><label for=\"vfb-field-1652\" class=\"vfb-control-label\">City <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-1652\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-1652\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField1653\"><div class=\"vfb-form-group\"><label for=\"vfb-field-1653\" class=\"vfb-control-label\">State or Province <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-1653\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-1653\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField1654\"><div class=\"vfb-form-group\"><label for=\"vfb-field-1654\" class=\"vfb-control-label\">ZIP Code (or Postal Code) <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-1654\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-1654\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-email\" id=\"vfbField1655\"><div class=\"vfb-form-group\"><label for=\"vfb-field-1655\" class=\"vfb-control-label\">Email Address: <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">Please carefully enter your email address, which we will use to send you the Completion Certificate.<\/span><input id=\"vfb-field-1655\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"email\" name=\"vfb-field-1655\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-email\" id=\"vfbField1656\"><div class=\"vfb-form-group\"><label for=\"vfb-field-1656\" class=\"vfb-control-label\">Confirm Email Address: <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-1656\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" data-vfb-equalto=\"#vfb-field-1655\" type=\"email\" name=\"vfb-field-1656\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField1657\"><div class=\"vfb-form-group\"><label for=\"vfb-field-1657\" class=\"vfb-control-label\">Do you hold professional healthcare and\/or counseling Licenses \/ Certifications?<\/label><div><span class=\"vfb-help-block\">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.\r\n<\/span><input id=\"vfb-field-1657\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-1657\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField1658\"><label for=\"vfb-field-1658\" class=\"vfb-control-label\">Do you hold internationally-awarded Breining Institute credentials?<\/label><div><span class=\"vfb-help-block\">If you have earned one or more internationally-awarded credentials from Breining Institute, please select which ones below (select all that apply):<\/span><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1658-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1658\" type=\"checkbox\" name=\"vfb-field-1658[0]\" value=\"1\">Registered Addiction Specialist (RAS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1658-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1658\" type=\"checkbox\" name=\"vfb-field-1658[1]\" value=\"1\">Advanced RAS - Level II (RAS II)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1658-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1658\" type=\"checkbox\" name=\"vfb-field-1658[2]\" value=\"1\">Advanced RAS - Level III (RAS III)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1658-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1658\" type=\"checkbox\" name=\"vfb-field-1658[3]\" value=\"1\">Masters Level - RAS (M-RAS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1658-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1658\" type=\"checkbox\" name=\"vfb-field-1658[4]\" value=\"1\">Clinical Supervisor Credential (CSC)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1658-5\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1658\" type=\"checkbox\" name=\"vfb-field-1658[5]\" value=\"1\">Master Counselor in Addictions (MCA)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1658-6\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1658\" type=\"checkbox\" name=\"vfb-field-1658[6]\" value=\"1\">Certified Women's Treatment Specialist (CWTS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1658-7\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1658\" type=\"checkbox\" name=\"vfb-field-1658[7]\" value=\"1\">Medication-Assisted Treatment Counselor (MATC)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1658-8\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1658\" type=\"checkbox\" name=\"vfb-field-1658[8]\" value=\"1\">Forensic Addictions Counselor (FAC)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1658-9\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1658\" type=\"checkbox\" name=\"vfb-field-1658[9]\" value=\"1\">Certified Co-occurring Disorders Specialist (CCDS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1658-10\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1658\" type=\"checkbox\" name=\"vfb-field-1658[10]\" value=\"1\">Certified Case Manager Interventionist (CCMI)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1658-11\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1658\" type=\"checkbox\" name=\"vfb-field-1658[11]\" value=\"1\">Certified Case Manager Interventionist - Masters Level (CCMI-M)<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><\/section><section class=\"vfb-page-section\"><h3 class=\"vfb-page-title\">Course Evaluation <span class=\"vfb-required-asterisk\">*<\/span><\/h3><div class=\"vfb-col-12 vfb-fieldType-page-break\" id=\"vfbField1659\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><div class=\"\">Section 2: CCMI Module 3 Course Evaluation<\/div><span class=\"vfb-help-block\">Please respond to the following questions for CE Credit.<\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField1660\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><div class=\"\">Course Expectations<\/div><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField1661\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField1662\"><label for=\"vfb-field-1662\" class=\"vfb-control-label\">Question 1. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">Did the course cover the content you were expecting?<\/span><div class=\"vfb-radio\"><label><input id=\"vfb-field-1662-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1662\" value=\"Yes\">Yes<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1662-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1662\" value=\"It covered some of the information expected\">It covered some of the information expected<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1662-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1662\" value=\"No\">No<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1662-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1662\" value=\"Other\">Other<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-textarea\" id=\"vfbField1663\"><div class=\"vfb-form-group\"><label for=\"vfb-field-1663\" class=\"vfb-control-label\">Question 2.<\/label><div><span class=\"vfb-help-block\">What topics, if any, would you have liked to see addressed that were not covered?<\/span><textarea id=\"vfb-field-1663\" class=\"vfb-form-control\" placeholder=\"\" rows=\"10\" name=\"vfb-field-1663\" cols=\"50\"><\/textarea><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><div class=\"\">Course Structure and Content<\/div><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField1664\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField1665\"><label for=\"vfb-field-1665\" class=\"vfb-control-label\">Question 3. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">Rate the relevance of the subject matter presented.<\/span><div class=\"vfb-radio\"><label><input id=\"vfb-field-1665-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1665\" value=\"Very relevant\">Very relevant<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1665-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1665\" value=\"Somewhat relevant\">Somewhat relevant<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1665-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1665\" value=\"Not very relevant\">Not very relevant<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1665-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1665\" value=\"Other\">Other<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField1666\"><label for=\"vfb-field-1666\" class=\"vfb-control-label\">Question 4. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">Rate the amount of material presented.<\/span><div class=\"vfb-radio\"><label><input id=\"vfb-field-1666-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1666\" value=\"A lot of material was presented.\">A lot of material was presented.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1666-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1666\" value=\"An average amount of material was presented.\">An average amount of material was presented.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1666-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1666\" value=\"Not very much material was presented.\">Not very much material was presented.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1666-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1666\" value=\"Other.\">Other.<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField1667\"><label for=\"vfb-field-1667\" class=\"vfb-control-label\">Question 5. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">Rate the knowledge of the instructors \/ presenters in this course.<\/span><div class=\"vfb-radio\"><label><input id=\"vfb-field-1667-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1667\" value=\"Very knowledgable\">Very knowledgable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1667-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1667\" value=\"Somewhat knowledgable\">Somewhat knowledgable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1667-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1667\" value=\"Not very knowledgable\">Not very knowledgable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1667-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1667\" value=\"Other\">Other<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><div class=\"\">Overall Experience<\/div><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField1668\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField1669\"><label for=\"vfb-field-1669\" class=\"vfb-control-label\">Question 6. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">Rate the overall value of the information presented in this course.<\/span><div class=\"vfb-radio\"><label><input id=\"vfb-field-1669-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1669\" value=\"Extremely valuable\">Extremely valuable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1669-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1669\" value=\"Somewhat valuable\">Somewhat valuable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1669-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1669\" value=\"Not very valuable\">Not very valuable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1669-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1669\" value=\"Other\">Other<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField1670\"><label for=\"vfb-field-1670\" class=\"vfb-control-label\">Question 7. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">Based on this experience, would you take another live online course on this subject?<\/span><div class=\"vfb-radio\"><label><input id=\"vfb-field-1670-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1670\" value=\"Yes\">Yes<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1670-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1670\" value=\"No\">No<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1670-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1670\" value=\"Maybe\">Maybe<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField1671\"><label for=\"vfb-field-1671\" class=\"vfb-control-label\">Question 8. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">Rate your overall experience of taking this live online course.<\/span><div class=\"vfb-radio\"><label><input id=\"vfb-field-1671-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1671\" value=\"5 stars: Excellent\">5 stars: Excellent<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1671-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1671\" value=\"4 stars: Very good\">4 stars: Very good<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1671-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1671\" value=\"3 stars: Average\">3 stars: Average<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1671-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1671\" value=\"2 stars: Below average\">2 stars: Below average<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1671-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1671\" value=\"1 star: Not good\">1 star: Not good<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-textarea\" id=\"vfbField1672\"><div class=\"vfb-form-group\"><label for=\"vfb-field-1672\" class=\"vfb-control-label\">Question 9.<\/label><div><span class=\"vfb-help-block\">Do you have any other comments or suggestions about this course?<\/span><textarea id=\"vfb-field-1672\" class=\"vfb-form-control\" placeholder=\"\" rows=\"10\" name=\"vfb-field-1672\" cols=\"50\"><\/textarea><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField1673\"><label for=\"vfb-field-1673\" class=\"vfb-control-label\">How did you find out about this course? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1673-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1673\" required=\"required\" type=\"checkbox\" name=\"vfb-field-1673[0]\" value=\"1\">Friend, colleague or co-worker<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1673-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1673\" type=\"checkbox\" name=\"vfb-field-1673[1]\" value=\"1\">Social media (such as Facebook, LinkedIn)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1673-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1673\" type=\"checkbox\" name=\"vfb-field-1673[2]\" value=\"1\">Program Supervisor or Manager<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1673-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1673\" type=\"checkbox\" name=\"vfb-field-1673[3]\" value=\"1\">Licensing or Certification agency<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1673-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1673\" type=\"checkbox\" name=\"vfb-field-1673[4]\" value=\"1\">Other<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField1674\"><label for=\"vfb-field-1674\" class=\"vfb-control-label\">Years in AOD\/SUD and\/or Healthcare Profession <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">How long have you been providing professional AOD\/SUD counseling services, or have been in the healthcare profession?<\/span><div class=\"vfb-radio\"><label><input id=\"vfb-field-1674-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1674\" value=\"Less than 1 year\">Less than 1 year<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1674-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1674\" value=\"1 - 3 years\">1 - 3 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1674-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1674\" value=\"3 - 5 years\">3 - 5 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1674-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1674\" value=\"5 - 10 years\">5 - 10 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1674-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1674\" value=\"10 - 15 years\">10 - 15 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1674-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1674\" value=\"15 - 20 years\">15 - 20 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1674-6\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1674\" value=\"More than 20 years\">More than 20 years<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><div class=\"\">If you are satisfied with your responses, please select the \"Submit\" button to submit your Course Evaluation. After we review the Course Evaluation, a CE Completion Certificate will be emailed to you, typically within 5 business days. Thank you.<\/div><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField1675\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-captcha\" id=\"vfbField1676\"><div class=\"vfb-form-group\"><label for=\"vfb-field-1676\" class=\"vfb-control-label\">Captcha <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"g-recaptcha\" data-sitekey=\"6LdWgN0UAAAAAM_hb1SqmzT2DP4J1X289K2epOVA\"><\/div><input type=\"hidden\" name=\"_vfb_recaptcha_enabled\" value=\"1\" id=\"\"><div class=\"vfb-has-error\" id=\"vfb-recaptcha-error\"><span class=\"vfb-help-block\">reCAPTCHA is required.<\/span><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-submit\" id=\"vfbField1677\"><button id=\"vfb-field-1677\" class=\" btn btn-primary\" placeholder=\"\" type=\"submit\" name=\"_vfb-submit\">Submit<\/button><\/div><div class=\"vfb-clearfix\"><\/div><\/section><\/form>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":555,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-18736","page","type-page","status-publish","czr-hentry"],"_links":{"self":[{"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages\/18736","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/comments?post=18736"}],"version-history":[{"count":3,"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages\/18736\/revisions"}],"predecessor-version":[{"id":18796,"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages\/18736\/revisions\/18796"}],"up":[{"embeddable":true,"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages\/555"}],"wp:attachment":[{"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/media?parent=18736"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}