{"id":22489,"date":"2022-04-20T10:17:47","date_gmt":"2022-04-20T17:17:47","guid":{"rendered":"https:\/\/www.breining.edu\/?page_id=22489"},"modified":"2022-04-20T10:19:20","modified_gmt":"2022-04-20T17:19:20","slug":"answer-sheet-for-12-hr-confidentiality-and-ethics-bundle","status":"publish","type":"page","link":"https:\/\/www.breining.edu\/index.php\/online-continuing-education-ce\/answer-sheet-for-12-hr-confidentiality-and-ethics-bundle\/","title":{"rendered":"ANSWER SHEET for 12-hr Confidentiality and Ethics Bundle"},"content":{"rendered":"<form method=\"post\" enctype=\"multipart\/form-data\" id=\"vfbp-form-85\" 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-85\" value=\"1780138051\" id=\"\"><input type=\"hidden\" name=\"_vfb-form-id\" value=\"85\" 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=\"vfbField2595\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-instructions\" id=\"vfbField2596\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2596\" class=\"vfb-control-label\"><\/label><div class=\"\"><h2 class=\"has-vivid-red-color has-text-color\"><span style=\"color: #ff0000;\">CEB-2022: 12-hour Confidentiality and Ethics CE Course Bundle<br \/>\n<\/span><\/h2>\n<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 and the COURSE EVALUATION 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=\"vfbField2598\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField2599\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2599\" class=\"vfb-control-label\">Full Name: <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-2599\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-2599\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField2600\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2600\" class=\"vfb-control-label\">Street Address <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-2600\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-2600\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField2601\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2601\" class=\"vfb-control-label\">City <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-2601\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-2601\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField2602\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2602\" class=\"vfb-control-label\">State or Province <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-2602\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-2602\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField2603\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2603\" class=\"vfb-control-label\">ZIP Code (or Postal Code) <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-2603\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-2603\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-email\" id=\"vfbField2604\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2604\" 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-2604\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"email\" name=\"vfb-field-2604\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-email\" id=\"vfbField2605\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2605\" class=\"vfb-control-label\">Confirm Email Address: <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-2605\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" data-vfb-equalto=\"#vfb-field-2604\" type=\"email\" name=\"vfb-field-2605\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField3062\"><label for=\"vfb-field-3062\" class=\"vfb-control-label\">What type of device you are using to complete this online Answer Sheet? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3062-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3062\" value=\"Desktop computer\">Desktop computer<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3062-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3062\" value=\"Laptop computer\">Laptop computer<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3062-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3062\" value=\"Tablet\">Tablet<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3062-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3062\" value=\"Smart phone\">Smart phone<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3062-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3062\" value=\"Other\">Other<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3062-6\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3062\" value=\"I do not know\">I do not know<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField3063\"><label for=\"vfb-field-3063\" class=\"vfb-control-label\">Which Web browser are you using to complete this online Answer Sheet form? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3063-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3063\" value=\"Google Chrome\">Google Chrome<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3063-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3063\" value=\"Safari\">Safari<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3063-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3063\" value=\"Microsoft Edge\">Microsoft Edge<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3063-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3063\" value=\"Firefox\">Firefox<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3063-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3063\" value=\"Opera\">Opera<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3063-6\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3063\" value=\"Internet Explorer\">Internet Explorer<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3063-7\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3063\" value=\"Brave\">Brave<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3063-8\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3063\" value=\"Other\">Other<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3063-9\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3063\" value=\"I do not know\">I do not know<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField2606\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2606\" 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-2606\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-2606\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField2607\"><label for=\"vfb-field-2607\" 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-2607-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2607\" type=\"checkbox\" name=\"vfb-field-2607[0]\" value=\"1\">Registered Addiction Specialist (RAS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2607-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2607\" type=\"checkbox\" name=\"vfb-field-2607[1]\" value=\"1\">Advanced RAS - Level II (RAS II)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2607-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2607\" type=\"checkbox\" name=\"vfb-field-2607[2]\" value=\"1\">Advanced RAS - Level III (RAS III)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2607-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2607\" type=\"checkbox\" name=\"vfb-field-2607[3]\" value=\"1\">Masters Level - RAS (M-RAS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2607-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2607\" type=\"checkbox\" name=\"vfb-field-2607[4]\" value=\"1\">Clinical Supervisor Credential (CSC)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2607-5\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2607\" type=\"checkbox\" name=\"vfb-field-2607[5]\" value=\"1\">Master Counselor in Addictions (MCA)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2607-6\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2607\" type=\"checkbox\" name=\"vfb-field-2607[6]\" value=\"1\">Certified Women's Treatment Specialist (CWTS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2607-7\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2607\" type=\"checkbox\" name=\"vfb-field-2607[7]\" value=\"1\">Medication-Assisted Treatment Counselor (MATC)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2607-8\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2607\" type=\"checkbox\" name=\"vfb-field-2607[8]\" value=\"1\">Forensic Addictions Counselor (FAC)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2607-9\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2607\" type=\"checkbox\" name=\"vfb-field-2607[9]\" value=\"1\">Certified Co-occurring Disorders Specialist (CCDS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2607-10\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2607\" type=\"checkbox\" name=\"vfb-field-2607[10]\" value=\"1\">Certified Case Manager Interventionist - Associate Level (CCMI-A)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2607-11\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2607\" type=\"checkbox\" name=\"vfb-field-2607[11]\" value=\"1\">Certified Case Manager Interventionist (CCMI)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2607-12\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2607\" type=\"checkbox\" name=\"vfb-field-2607[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=\"vfbField2608\"><\/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=\"vfbField2609\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2722\"><label for=\"vfb-field-2722\" 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-2722-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2722\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2722-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2722\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2722-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2722\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2722-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2722\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2730\"><label for=\"vfb-field-2730\" 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-2730-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2730\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2730-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2730\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2730-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2730\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2730-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2730\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2729\"><label for=\"vfb-field-2729\" 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-2729-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2729\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2729-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2729\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2729-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2729\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2729-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2729\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2728\"><label for=\"vfb-field-2728\" 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-2728-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2728\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2728-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2728\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2728-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2728\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2728-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2728\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2727\"><label for=\"vfb-field-2727\" 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-2727-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2727\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2727-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2727\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2727-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2727\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2727-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2727\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2726\"><label for=\"vfb-field-2726\" 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-2726-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2726\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2726-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2726\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2726-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2726\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2726-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2726\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2725\"><label for=\"vfb-field-2725\" 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-2725-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2725\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2725-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2725\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2725-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2725\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2725-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2725\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2724\"><label for=\"vfb-field-2724\" 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-2724-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2724\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2724-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2724\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2724-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2724\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2724-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2724\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2723\"><label for=\"vfb-field-2723\" 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-2723-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2723\" value=\"A.\">A.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2723-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2723\" value=\"B.\">B.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2723-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2723\" value=\"C.\">C.<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2723-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2723\" value=\"D.\">D.<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-instructions\" id=\"vfbField2731\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2731\" class=\"vfb-control-label\"><\/label><div class=\"\"><hr \/>\n<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=\"vfbField2721\"><\/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\r\n<\/span><\/h4><\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField2610\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2611\"><label for=\"vfb-field-2611\" 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-2611-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2611\" value=\"Yes\">Yes<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2611-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2611\" 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-2611-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2611\" value=\"No\">No<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2611-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2611\" value=\"Other\">Other<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-textarea\" id=\"vfbField2612\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2612\" 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-2612\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" rows=\"10\" name=\"vfb-field-2612\" 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=\"vfbField2613\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2614\"><label for=\"vfb-field-2614\" 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-2614-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2614\" value=\"Very relevant\">Very relevant<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2614-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2614\" value=\"Somewhat relevant\">Somewhat relevant<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2614-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2614\" value=\"Not very relevant\">Not very relevant<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2614-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2614\" value=\"Other\">Other<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2615\"><label for=\"vfb-field-2615\" 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-2615-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2615\" value=\"Extremely valuable\">Extremely valuable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2615-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2615\" value=\"Somewhat valuable\">Somewhat valuable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2615-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2615\" value=\"Not very valuable\">Not very valuable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2615-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2615\" 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=\"vfbField2616\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2617\"><label for=\"vfb-field-2617\" 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-2617-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2617\" value=\"Yes\">Yes<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2617-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2617\" value=\"No\">No<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2617-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2617\" value=\"Maybe\">Maybe<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2618\"><label for=\"vfb-field-2618\" 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-2618-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2618\" value=\"5 stars: Excellent\">5 stars: Excellent<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2618-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2618\" value=\"4 stars: Very good\">4 stars: Very good<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2618-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2618\" value=\"3 stars: Average\">3 stars: Average<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2618-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2618\" value=\"2 stars: Below average\">2 stars: Below average<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2618-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2618\" 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=\"vfbField2619\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2619\" 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-2619\" class=\"vfb-form-control\" placeholder=\"\" rows=\"10\" name=\"vfb-field-2619\" cols=\"50\"><\/textarea><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField2620\"><label for=\"vfb-field-2620\" 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-2620-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2620\" required=\"required\" type=\"checkbox\" name=\"vfb-field-2620[0]\" value=\"1\">Friend, colleague or co-worker<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2620-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2620\" type=\"checkbox\" name=\"vfb-field-2620[1]\" value=\"1\">Social media (such as Facebook, LinkedIn)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2620-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2620\" type=\"checkbox\" name=\"vfb-field-2620[2]\" value=\"1\">Program Supervisor or Manager<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2620-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2620\" type=\"checkbox\" name=\"vfb-field-2620[3]\" value=\"1\">Licensing or Certification agency<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-2620-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-2620\" type=\"checkbox\" name=\"vfb-field-2620[4]\" value=\"1\">Other<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField2621\"><label for=\"vfb-field-2621\" 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-2621-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2621\" value=\"Less than 1 year\">Less than 1 year<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2621-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2621\" value=\"1 - 3 years\">1 - 3 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2621-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2621\" value=\"3 - 5 years\">3 - 5 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2621-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2621\" value=\"5 - 10 years\">5 - 10 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2621-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2621\" value=\"10 - 15 years\">10 - 15 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2621-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2621\" value=\"15 - 20 years\">15 - 20 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-2621-6\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-2621\" 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=\"vfbField2622\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2622\" class=\"vfb-control-label\">CE Course Payment<\/label><div class=\"\"><h4><span style=\"color: #ff0000;\">The Completion Certificate Fee for this course is $39.<\/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=\"vfbField2624\"><div class=\"vfb-form-group\"><label for=\"vfb-field-2624\" 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=\"vfbField2625\"><button id=\"vfb-field-2625\" 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-22489","page","type-page","status-publish","czr-hentry"],"_links":{"self":[{"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages\/22489","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=22489"}],"version-history":[{"count":1,"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages\/22489\/revisions"}],"predecessor-version":[{"id":22490,"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages\/22489\/revisions\/22490"}],"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=22489"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}