{"id":22467,"date":"2022-04-20T07:02:32","date_gmt":"2022-04-20T14:02:32","guid":{"rendered":"https:\/\/www.breining.edu\/?page_id=22467"},"modified":"2022-04-20T07:24:35","modified_gmt":"2022-04-20T14:24:35","slug":"answer-sheet-for-15-hour-bundles","status":"publish","type":"page","link":"https:\/\/www.breining.edu\/index.php\/online-continuing-education-ce\/answer-sheet-for-15-hour-bundles\/","title":{"rendered":"ANSWER SHEET for 15-hr CE Bundles"},"content":{"rendered":"<form method=\"post\" enctype=\"multipart\/form-data\" id=\"vfbp-form-83\" 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-83\" value=\"1777515500\" id=\"\"><input type=\"hidden\" name=\"_vfb-form-id\" value=\"83\" 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=\"vfbField2533\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-instructions\" id=\"vfbField2534\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2534\" class=\"vfb-control-label\"><\/label><div class=\"\"><h3 class=\"has-very-dark-gray-color has-text-color has-vivid-red-color\"><span style=\"color: #008000;\"><strong>3 easy steps:<\/strong><\/span><\/h3>\n<ol>\n<li>Complete the STUDENT INFORMATION page.<\/li>\n<li>Complete the ANSWER SHEET page.<\/li>\n<li>Select the SUBMIT button to be provided a link to online payment.<\/li>\n<\/ol>\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=\"vfbField2536\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField2537\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2537\" class=\"vfb-control-label\">Full Name: <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">This is the name that will be included on the Completion Certificate.<\/span><input id=\"vfb-field-2537\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-2537\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField2538\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2538\" class=\"vfb-control-label\">Street Address <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-2538\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-2538\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField2539\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2539\" class=\"vfb-control-label\">City <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-2539\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-2539\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField2540\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2540\" class=\"vfb-control-label\">State or Province <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-2540\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-2540\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField2541\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2541\" class=\"vfb-control-label\">ZIP Code (or Postal Code) <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-2541\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-2541\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-email\" id=\"vfbField2542\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2542\" 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-2542\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"email\" name=\"vfb-field-2542\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-email\" id=\"vfbField2543\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2543\" class=\"vfb-control-label\">Confirm Email Address: <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-2543\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" data-vfb-equalto=\"#vfb-field-2542\" type=\"email\" name=\"vfb-field-2543\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField2544\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2544\" 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-2544\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-2544\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField2545\"><label for=\"vfb-field-2545\" 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-2545-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2545\" type=\"checkbox\" name=\"vfb-field-2545[0]\" value=\"1\">Registered Addiction Specialist (RAS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2545-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2545\" type=\"checkbox\" name=\"vfb-field-2545[1]\" value=\"1\">Advanced RAS - Level II (RAS II)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2545-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2545\" type=\"checkbox\" name=\"vfb-field-2545[2]\" value=\"1\">Advanced RAS - Level III (RAS III)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2545-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2545\" type=\"checkbox\" name=\"vfb-field-2545[3]\" value=\"1\">Masters Level - RAS (M-RAS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2545-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2545\" type=\"checkbox\" name=\"vfb-field-2545[4]\" value=\"1\">Clinical Supervisor Credential (CSC)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2545-5\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2545\" type=\"checkbox\" name=\"vfb-field-2545[5]\" value=\"1\">Master Counselor in Addictions (MCA)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2545-6\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2545\" type=\"checkbox\" name=\"vfb-field-2545[6]\" value=\"1\">Certified Women's Treatment Specialist (CWTS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2545-7\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2545\" type=\"checkbox\" name=\"vfb-field-2545[7]\" value=\"1\">Medication-Assisted Treatment Counselor (MATC)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2545-8\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2545\" type=\"checkbox\" name=\"vfb-field-2545[8]\" value=\"1\">Forensic Addictions Counselor (FAC)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2545-9\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2545\" type=\"checkbox\" name=\"vfb-field-2545[9]\" value=\"1\">Certified Co-occurring Disorders Specialist (CCDS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2545-10\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2545\" type=\"checkbox\" name=\"vfb-field-2545[10]\" value=\"1\">Certified Case Manager Interventionist - Associate Level (CCMI-A)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2545-11\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2545\" type=\"checkbox\" name=\"vfb-field-2545[11]\" value=\"1\">Certified Case Manager Interventionist (CCMI)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2545-12\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2545\" type=\"checkbox\" name=\"vfb-field-2545[12]\" 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\">ANSWER SHEET <span class=\"vfb-required-asterisk\">*<\/span><\/h3><div class=\"vfb-col-12 vfb-fieldType-page-break\" id=\"vfbField2546\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><div class=\"\">Section 2: ANSWER SHEET<\/div><span class=\"vfb-help-block\"><h3><span style=\"color: #ff0000;\">Complete Your Answers<\/span><\/h3>\r\n<h4>Select the correct answer to the questions included within the Course Materials.<\/h4>\r\n<h4><span style=\"color: #ff0000;\">You will only need to answer the first nine (9) questions that are included in the Course Material and Exam Questions packet to receive full credit for the course.<\/span><\/h4>\r\n<h4>After you have selected your answers, proceed to the Course Evaluation page, in order to complete this course.<\/h4><\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField2547\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2535\"><label for=\"vfb-field-2535\" class=\"vfb-control-label\">For which one of the courses below are you submitting this ANSWER SHEET? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2535-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2535\" value=\"CD-1451P1: 15-hr Bundle: Co-occurring Disorders CE Course\">CD-1451P1: 15-hr Bundle: Co-occurring Disorders CE Course<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2535-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2535\" value=\"CD-1451P2: 15-hr Bundle: Co-occurring Disorders CE Course\">CD-1451P2: 15-hr Bundle: Co-occurring Disorders CE Course<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2535-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2535\" value=\"CD-1451P3: 15-hr Bundle: Co-occurring Disorders CE Course\">CD-1451P3: 15-hr Bundle: Co-occurring Disorders CE Course<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2535-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2535\" value=\"FC-1951P1: 15-hr Bundle: Forensic Counselor CE Course\">FC-1951P1: 15-hr Bundle: Forensic Counselor CE Course<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2535-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2535\" value=\"FC-1951P2: 15-hr Bundle: Forensic Counselor CE Course\">FC-1951P2: 15-hr Bundle: Forensic Counselor CE Course<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2535-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2535\" value=\"FC-1951P3: 15-hr Bundle: Forensic Counselor CE Course\">FC-1951P3: 15-hr Bundle: Forensic Counselor CE Course<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2535-6\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2535\" value=\"FC-1951P4: 15-hr Bundle: Forensic Counselor CE Course\">FC-1951P4: 15-hr Bundle: Forensic Counselor CE Course<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2535-7\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2535\" value=\"WS-1971P1: 15-hr Bundle: Women&#039;s Treatment Counselor CE Course\">WS-1971P1: 15-hr Bundle: Women's Treatment Counselor CE Course<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2535-8\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2535\" value=\"WS-1971P2: 15-hr Bundle: Women&#039;s Treatment Counselor CE Course\">WS-1971P2: 15-hr Bundle: Women's Treatment Counselor CE Course<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2535-9\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2535\" value=\"WS-1971P3: 15-hr Bundle: Women&#039;s Treatment Counselor CE Course\">WS-1971P3: 15-hr Bundle: Women's Treatment Counselor CE Course<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2535-10\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2535\" value=\"WS-1971P4: 15-hr Bundle: Women&#039;s Treatment Counselor CE Course\">WS-1971P4: 15-hr Bundle: Women's Treatment Counselor CE Course<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2681\"><label for=\"vfb-field-2681\" class=\"vfb-control-label\">Question 1. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-2681-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2681\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2681-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2681\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2681-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2681\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2681-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2681\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2689\"><label for=\"vfb-field-2689\" class=\"vfb-control-label\">Question 2. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-2689-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2689\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2689-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2689\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2689-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2689\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2689-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2689\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2688\"><label for=\"vfb-field-2688\" class=\"vfb-control-label\">Question 3. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-2688-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2688\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2688-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2688\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2688-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2688\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2688-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2688\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2687\"><label for=\"vfb-field-2687\" class=\"vfb-control-label\">Question 4. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-2687-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2687\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2687-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2687\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2687-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2687\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2687-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2687\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2686\"><label for=\"vfb-field-2686\" class=\"vfb-control-label\">Question 5. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-2686-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2686\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2686-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2686\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2686-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2686\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2686-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2686\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2685\"><label for=\"vfb-field-2685\" class=\"vfb-control-label\">Question 6. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-2685-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2685\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2685-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2685\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2685-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2685\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2685-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2685\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2684\"><label for=\"vfb-field-2684\" class=\"vfb-control-label\">Question 7. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-2684-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2684\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2684-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2684\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2684-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2684\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2684-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2684\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2683\"><label for=\"vfb-field-2683\" class=\"vfb-control-label\">Question 8. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-2683-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2683\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2683-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2683\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2683-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2683\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2683-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2683\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2682\"><label for=\"vfb-field-2682\" class=\"vfb-control-label\">Question 9. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-2682-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2682\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2682-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2682\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2682-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2682\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2682-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2682\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-instructions\" id=\"vfbField2690\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2690\" class=\"vfb-control-label\"><\/label><div class=\"\"><h4><span style=\"color: #ff0000;\">Select the \u201cNext\u201d button, below, to proceed to the COURSE EVALUATION page.<\/span><\/h4>\n<\/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=\"vfbField2680\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><div class=\"\"><\/div><span class=\"vfb-help-block\"><h4><span style=\"color: #ff0000;\">Course Evaluation<\/span><\/h4><\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField2548\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2549\"><label for=\"vfb-field-2549\" 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-2549-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2549\" value=\"Yes\">Yes<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2549-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2549\" 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-2549-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2549\" value=\"No\">No<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2549-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2549\" value=\"Other\">Other<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-textarea\" id=\"vfbField2550\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2550\" class=\"vfb-control-label\">Question 2. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">Briefly, in your opinion, what is the most valuable information that this course provides to professional AOD\/SUD counselors?<\/span><textarea id=\"vfb-field-2550\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" rows=\"10\" name=\"vfb-field-2550\" 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=\"vfbField2551\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2552\"><label for=\"vfb-field-2552\" 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-2552-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2552\" value=\"Very relevant\">Very relevant<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2552-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2552\" value=\"Somewhat relevant\">Somewhat relevant<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2552-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2552\" value=\"Not very relevant\">Not very relevant<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2552-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2552\" value=\"Other\">Other<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2553\"><label for=\"vfb-field-2553\" class=\"vfb-control-label\">Question 4. <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-2553-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2553\" value=\"Extremely valuable\">Extremely valuable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2553-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2553\" value=\"Somewhat valuable\">Somewhat valuable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2553-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2553\" value=\"Not very valuable\">Not very valuable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2553-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2553\" 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=\"vfbField2554\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2555\"><label for=\"vfb-field-2555\" class=\"vfb-control-label\">Question 5. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">Based on this experience, would you take another online course on this subject?<\/span><div class=\"vfb-radio\"><label><input id=\"vfb-field-2555-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2555\" value=\"Yes\">Yes<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2555-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2555\" value=\"No\">No<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2555-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2555\" value=\"Maybe\">Maybe<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2556\"><label for=\"vfb-field-2556\" class=\"vfb-control-label\">Question 6. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">Rate your overall experience of taking this online course.<\/span><div class=\"vfb-radio\"><label><input id=\"vfb-field-2556-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2556\" value=\"5 stars: Excellent\">5 stars: Excellent<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2556-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2556\" value=\"4 stars: Very good\">4 stars: Very good<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2556-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2556\" value=\"3 stars: Average\">3 stars: Average<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2556-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2556\" value=\"2 stars: Below average\">2 stars: Below average<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2556-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2556\" 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=\"vfbField2557\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2557\" class=\"vfb-control-label\">Question 7.<\/label><div><span class=\"vfb-help-block\">Do you have any other comments or suggestions about this course?<\/span><textarea id=\"vfb-field-2557\" class=\"vfb-form-control\" placeholder=\"\" rows=\"10\" name=\"vfb-field-2557\" cols=\"50\"><\/textarea><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField2558\"><label for=\"vfb-field-2558\" 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-2558-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2558\" required=\"required\" type=\"checkbox\" name=\"vfb-field-2558[0]\" value=\"1\">Friend, colleague or co-worker<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2558-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2558\" type=\"checkbox\" name=\"vfb-field-2558[1]\" value=\"1\">Social media (such as Facebook, LinkedIn)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2558-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2558\" type=\"checkbox\" name=\"vfb-field-2558[2]\" value=\"1\">Program Supervisor or Manager<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2558-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2558\" type=\"checkbox\" name=\"vfb-field-2558[3]\" value=\"1\">Licensing or Certification agency<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2558-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2558\" type=\"checkbox\" name=\"vfb-field-2558[4]\" value=\"1\">Other<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2559\"><label for=\"vfb-field-2559\" 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-2559-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2559\" value=\"Less than 1 year\">Less than 1 year<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2559-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2559\" value=\"1 - 3 years\">1 - 3 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2559-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2559\" value=\"3 - 5 years\">3 - 5 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2559-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2559\" value=\"5 - 10 years\">5 - 10 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2559-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2559\" value=\"10 - 15 years\">10 - 15 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2559-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2559\" value=\"15 - 20 years\">15 - 20 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2559-6\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2559\" value=\"More than 20 years\">More than 20 years<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-instructions\" id=\"vfbField2560\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2560\" class=\"vfb-control-label\">CE Course Payment<\/label><div class=\"\"><h4><span style=\"color: #ff0000;\">The Completion Certificate Fee for this course is $59.<\/span><\/h4>\n<h4>After you select the &#8220;Submit&#8221; button below, you will be directed to a payment page where you can charge the fee to a credit card or to a PayPal account.<\/h4>\n<h4>Please only select the &#8220;Submit&#8221; button one time.<\/h4>\n<h4>Once it is successfully submitted, you will see a message on the screen that the ANSWER SHEET was &#8220;successfully completed.&#8221;<\/h4>\n<\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-captcha\" id=\"vfbField2562\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2562\" 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=\"vfbField2563\"><button id=\"vfb-field-2563\" class=\" btn btn-primary\" placeholder=\"\" type=\"submit\" name=\"_vfb-submit\">Submit<\/button><\/div><div class=\"vfb-clearfix\"><\/div><\/section><\/form>\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-22467","page","type-page","status-publish","czr-hentry"],"_links":{"self":[{"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages\/22467","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=22467"}],"version-history":[{"count":3,"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages\/22467\/revisions"}],"predecessor-version":[{"id":22476,"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages\/22467\/revisions\/22476"}],"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=22467"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}