{"id":37075,"date":"2025-08-19T15:35:58","date_gmt":"2025-08-19T22:35:58","guid":{"rendered":"https:\/\/www.breining.edu\/?page_id=37075"},"modified":"2025-08-24T11:17:20","modified_gmt":"2025-08-24T18:17:20","slug":"student-info-gb22-02-bundle-two-2025","status":"publish","type":"page","link":"https:\/\/www.breining.edu\/index.php\/student-info-gb22-02-bundle-two-2025\/","title":{"rendered":"STUDENT INFO: GB22-02 Bundle &#8211; TWO &#8211; 2025"},"content":{"rendered":"<form method=\"post\" enctype=\"multipart\/form-data\" id=\"vfbp-form-113\" 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-113\" value=\"1775620585\" id=\"\"><input type=\"hidden\" name=\"_vfb-form-id\" value=\"113\" id=\"\"><section class=\"vfb-page-section\"><h3 class=\"vfb-page-title\">Instructions<\/h3><div class=\"vfb-col-12 vfb-fieldType-page-break\" id=\"vfbField3526\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-instructions\" id=\"vfbField3527\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3527\" class=\"vfb-control-label\"><\/label><div class=\"\"><h2><span style=\"color: #008000;\">3 easy steps:<\/span><\/h2>\n<ul>\n<li>\n<h4>Complete the <span style=\"color: #008000;\">STUDENT INFORMATION<\/span> and the <span style=\"color: #008000;\">COURSE EVALUATION<\/span> sections.<\/h4>\n<\/li>\n<li>\n<h4>Complete the <span style=\"color: #008000;\">ANSWER SHEET<\/span>.<\/h4>\n<\/li>\n<li>\n<h4><span style=\"color: #008000;\">PRINT <\/span>the Completion Certificate for your records.<\/h4>\n<\/li>\n<\/ul>\n<hr \/>\n<h2><span style=\"color: #000000;\"><span style=\"color: #008000;\">Instructions<\/span><br \/>\n<\/span><\/h2>\n<h3><span style=\"color: #000000;\">Course Material and Questions<\/span><\/h3>\n<ul>\n<li>\n<h4>If you have not already obtained the <strong>Course Material<\/strong> packet, select this link: <a href=\"https:\/\/www.e-junkie.com\/ecom\/gb.php?&amp;c=cart&amp;ejc=2&amp;cl=106774&amp;i=1738229\">GB22-01 Course Material<\/a><a href=\"https:\/\/www.e-junkie.com\/ecom\/gb.php?c=cart&amp;i=1292171&amp;cl=106774&amp;ejc=2\">\u00a0<\/a><\/h4>\n<\/li>\n<li>\n<h4>The Course Material and Questions packet is a <strong>free download<\/strong>.<\/h4>\n<\/li>\n<li>\n<h4>You will use this online Answer Sheet to answer the Questions in the Course Material.<\/h4>\n<\/li>\n<\/ul>\n<h3><span style=\"color: #000000;\">Online Answer Sheet<\/span><\/h3>\n<ul>\n<li>\n<h4>Answer all of the questions.<\/h4>\n<\/li>\n<li>\n<h4>If you have answered at least 70% of the questions correctly, you will then see and be automatically emailed a CE Completion Certificate.<\/h4>\n<\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><\/section><section class=\"vfb-page-section\"><h3 class=\"vfb-page-title\">Student Info<\/h3><div class=\"vfb-col-12 vfb-fieldType-page-break\" id=\"vfbField3528\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><div class=\"\"><\/div><span class=\"vfb-help-block\"><h2><span style=\"color: #008000;\">Student Information\r\n<\/span><\/h2><\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField3529\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField3530\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3530\" class=\"vfb-control-label\">Full Name: <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-3530\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-3530\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField3531\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3531\" class=\"vfb-control-label\">Street Address <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-3531\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-3531\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField3532\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3532\" class=\"vfb-control-label\">City <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-3532\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-3532\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField3533\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3533\" class=\"vfb-control-label\">State or Province <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-3533\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-3533\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField3534\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3534\" class=\"vfb-control-label\">ZIP Code (or Postal Code) <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-3534\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-3534\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-email\" id=\"vfbField3535\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3535\" 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-3535\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"email\" name=\"vfb-field-3535\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-email\" id=\"vfbField3536\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3536\" class=\"vfb-control-label\">Confirm Email Address: <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-3536\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" data-vfb-equalto=\"#vfb-field-3535\" type=\"email\" name=\"vfb-field-3536\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField3856\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3856\" class=\"vfb-control-label\">SUDRC ID No:<\/label><div><input id=\"vfb-field-3856\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-3856\" value=\"\"><span class=\"vfb-help-block\">For the SUDRC ID No., enter your SUDRC number, which shows that you are a CADTP-registered counselor.\r\nOr, if you are completing this course per the requirement to apply for an Initial Registration, please enter \"SUDRC\" as your SUDRC number.<\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField3537\"><label for=\"vfb-field-3537\" 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-3537-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3537\" value=\"Desktop computer\">Desktop computer<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3537-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3537\" value=\"Laptop computer\">Laptop computer<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3537-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3537\" value=\"Tablet\">Tablet<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3537-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3537\" value=\"Smart phone\">Smart phone<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3537-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3537\" value=\"Other\">Other<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3537-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3537\" 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=\"vfbField3538\"><label for=\"vfb-field-3538\" 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-3538-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3538\" value=\"Google Chrome\">Google Chrome<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3538-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3538\" value=\"Safari\">Safari<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3538-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3538\" value=\"Microsoft Edge\">Microsoft Edge<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3538-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3538\" value=\"Firefox\">Firefox<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3538-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3538\" value=\"Opera\">Opera<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3538-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3538\" value=\"Internet Explorer\">Internet Explorer<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3538-6\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3538\" value=\"Brave\">Brave<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3538-7\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3538\" value=\"Other\">Other<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3538-8\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3538\" 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-checkbox\" id=\"vfbField3539\"><label for=\"vfb-field-3539\" class=\"vfb-control-label\">Why are you completing this course? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">Please select all that apply.<\/span><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3539-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3539\" required=\"required\" type=\"checkbox\" name=\"vfb-field-3539[0]\" value=\"1\">Licensing agency requirement<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3539-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3539\" type=\"checkbox\" name=\"vfb-field-3539[1]\" value=\"1\">Certification agency requirement<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3539-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3539\" type=\"checkbox\" name=\"vfb-field-3539[2]\" value=\"1\">Registration requirement<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3539-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3539\" type=\"checkbox\" name=\"vfb-field-3539[3]\" value=\"1\">Employer requirement<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3539-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3539\" type=\"checkbox\" name=\"vfb-field-3539[4]\" value=\"1\">Continuing Education requirement<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3539-5\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3539\" type=\"checkbox\" name=\"vfb-field-3539[5]\" value=\"1\">License or certification renewal requirement<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3539-6\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3539\" type=\"checkbox\" name=\"vfb-field-3539[6]\" value=\"1\">Other agency requirement<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3539-7\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3539\" type=\"checkbox\" name=\"vfb-field-3539[7]\" value=\"1\">Other reason<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField3540\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3540\" class=\"vfb-control-label\">Name of agency requiring completion <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">Please provide the name of the agency requiring completion of the course. If it is for a different reason, please answer, \"Not applicable.\"<\/span><input id=\"vfb-field-3540\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-3540\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField3541\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3541\" 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-3541\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-3541\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField3542\"><label for=\"vfb-field-3542\" 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-3542-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3542\" type=\"checkbox\" name=\"vfb-field-3542[0]\" value=\"1\">Registered Addiction Specialist (RAS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3542-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3542\" type=\"checkbox\" name=\"vfb-field-3542[1]\" value=\"1\">Advanced RAS - Level II (RAS II)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3542-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3542\" type=\"checkbox\" name=\"vfb-field-3542[2]\" value=\"1\">Advanced RAS - Level III (RAS III)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3542-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3542\" type=\"checkbox\" name=\"vfb-field-3542[3]\" value=\"1\">Masters Level - RAS (M-RAS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3542-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3542\" type=\"checkbox\" name=\"vfb-field-3542[4]\" value=\"1\">Clinical Supervisor Credential (CSC)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3542-5\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3542\" type=\"checkbox\" name=\"vfb-field-3542[5]\" value=\"1\">Master Counselor in Addictions (MCA)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3542-6\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3542\" type=\"checkbox\" name=\"vfb-field-3542[6]\" value=\"1\">Certified Women's Treatment Specialist (CWTS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3542-7\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3542\" type=\"checkbox\" name=\"vfb-field-3542[7]\" value=\"1\">Medication-Assisted Treatment Counselor (MATC)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3542-8\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3542\" type=\"checkbox\" name=\"vfb-field-3542[8]\" value=\"1\">Forensic Addictions Counselor (FAC)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3542-9\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3542\" type=\"checkbox\" name=\"vfb-field-3542[9]\" value=\"1\">Certified Co-occurring Disorders Specialist (CCDS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3542-10\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3542\" type=\"checkbox\" name=\"vfb-field-3542[10]\" value=\"1\">Certified Case Manager Interventionist - Associate Level (CCMI-A)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3542-11\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3542\" type=\"checkbox\" name=\"vfb-field-3542[11]\" value=\"1\">Certified Case Manager Interventionist (CCMI)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3542-12\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3542\" type=\"checkbox\" name=\"vfb-field-3542[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\">Course Evaluation<\/h3><div class=\"vfb-col-12 vfb-fieldType-page-break\" id=\"vfbField3543\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><div class=\"\"><\/div><span class=\"vfb-help-block\"><h2><span style=\"color: #008000;\">Course Evaluation<\/span><\/h2><\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField3544\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField3545\"><label for=\"vfb-field-3545\" class=\"vfb-control-label\">Did the course cover the content you were expecting? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3545-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3545\" value=\"Yes\">Yes<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3545-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3545\" 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-3545-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3545\" value=\"No\">No<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3545-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3545\" value=\"Other\">Other<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField3546\"><label for=\"vfb-field-3546\" class=\"vfb-control-label\">Rate the overall value of the information presented in this course. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3546-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3546\" value=\"Extremely valuable\">Extremely valuable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3546-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3546\" value=\"Somewhat valuable\">Somewhat valuable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3546-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3546\" value=\"Not very valuable\">Not very valuable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3546-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3546\" value=\"Other\">Other<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField3547\"><label for=\"vfb-field-3547\" class=\"vfb-control-label\">Rate your overall experience of taking this online course. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3547-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3547\" value=\"5 stars: Excellent\">5 stars: Excellent<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3547-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3547\" value=\"4 stars: Very good\">4 stars: Very good<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3547-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3547\" value=\"3 stars: Average\">3 stars: Average<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3547-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3547\" value=\"2 stars: Below average\">2 stars: Below average<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3547-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3547\" 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=\"vfbField3548\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3548\" class=\"vfb-control-label\">Do you have any comments or suggestions about this course?<\/label><div><span class=\"vfb-help-block\">Your evaluation of this online course is important to Breining Institute. We will use your evaluation to improve our future offerings of this and other online education courses. <\/span><textarea id=\"vfb-field-3548\" class=\"vfb-form-control\" placeholder=\"\" rows=\"10\" name=\"vfb-field-3548\" cols=\"50\"><\/textarea><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField3549\"><label for=\"vfb-field-3549\" 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-3549-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3549\" required=\"required\" type=\"checkbox\" name=\"vfb-field-3549[0]\" value=\"1\">Friend, colleague or co-worker<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3549-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3549\" type=\"checkbox\" name=\"vfb-field-3549[1]\" value=\"1\">Social media (such as Facebook, LinkedIn)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3549-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3549\" type=\"checkbox\" name=\"vfb-field-3549[2]\" value=\"1\">Program Supervisor or Manager<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3549-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3549\" type=\"checkbox\" name=\"vfb-field-3549[3]\" value=\"1\">Licensing or Certification agency<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3549-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3549\" type=\"checkbox\" name=\"vfb-field-3549[4]\" value=\"1\">Other<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField3550\"><label for=\"vfb-field-3550\" 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-3550-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3550\" value=\"Less than 1 year\">Less than 1 year<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3550-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3550\" value=\"1 - 3 years\">1 - 3 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3550-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3550\" value=\"3 - 5 years\">3 - 5 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3550-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3550\" value=\"5 - 10 years\">5 - 10 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3550-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3550\" value=\"10 - 15 years\">10 - 15 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3550-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3550\" value=\"15 - 20 years\">15 - 20 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3550-6\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3550\" value=\"More than 20 years\">More than 20 years<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><\/section><section class=\"vfb-page-section\"><h3 class=\"vfb-page-title\">Answer Sheet<\/h3><div class=\"vfb-col-12 vfb-fieldType-page-break\" id=\"vfbField3551\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-instructions\" id=\"vfbField3552\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3552\" class=\"vfb-control-label\"><\/label><div class=\"\"><h4>Your next step is to complete the online ANSWER SHEET.<\/h4>\n<h4>You will have 120 minutes to complete the ANSWER SHEET.<\/h4>\n<h4>Select the \u201cSubmit\u201d button below <span style=\"color: #ff0000;\">when you are ready to complete the online Answer Sheet<\/span>.<\/h4>\n<\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-captcha\" id=\"vfbField3553\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3553\" 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=\"vfbField3554\"><button id=\"vfb-field-3554\" 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":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-37075","page","type-page","status-publish","czr-hentry"],"_links":{"self":[{"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages\/37075","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=37075"}],"version-history":[{"count":2,"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages\/37075\/revisions"}],"predecessor-version":[{"id":37278,"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages\/37075\/revisions\/37278"}],"wp:attachment":[{"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/media?parent=37075"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}