Impairment Training Program Survey

Date of Program

Location of Program

products/technologies? of of

Please rate the content of each classroom session attended as to how it matched your expectations.

	I did not attend this session	1. Content Was Far Below Expectations	2. Content Was Below Expectations	3. Content Met Expectations	4. Content Exceeded Expectations	5. Extremely Valuable Content
Law Enforcement Only – Impairment Course	I did not attend this sessionLaw Enforcement Only – Impairment Course I did not attend this session	1. Content Was Far Below ExpectationsLaw Enforcement Only – Impairment Course 1. Content Was Far Below Expectations	2. Content Was Below ExpectationsLaw Enforcement Only – Impairment Course 2. Content Was Below Expectations	3. Content Met ExpectationsLaw Enforcement Only – Impairment Course 3. Content Met Expectations	4. Content Exceeded ExpectationsLaw Enforcement Only – Impairment Course 4. Content Exceeded Expectations	5. Extremely Valuable ContentLaw Enforcement Only – Impairment Course 5. Extremely Valuable Content
Introduction to Whole Worker Health and SBIRT	I did not attend this sessionIntroduction to Whole Worker Health and SBIRT I did not attend this session	1. Content Was Far Below ExpectationsIntroduction to Whole Worker Health and SBIRT 1. Content Was Far Below Expectations	2. Content Was Below ExpectationsIntroduction to Whole Worker Health and SBIRT 2. Content Was Below Expectations	3. Content Met ExpectationsIntroduction to Whole Worker Health and SBIRT 3. Content Met Expectations	4. Content Exceeded ExpectationsIntroduction to Whole Worker Health and SBIRT 4. Content Exceeded Expectations	5. Extremely Valuable ContentIntroduction to Whole Worker Health and SBIRT 5. Extremely Valuable Content
Discussion of Available Impairment Detection Technologies	I did not attend this sessionDiscussion of Available Impairment Detection Technologies I did not attend this session	1. Content Was Far Below ExpectationsDiscussion of Available Impairment Detection Technologies 1. Content Was Far Below Expectations	2. Content Was Below ExpectationsDiscussion of Available Impairment Detection Technologies 2. Content Was Below Expectations	3. Content Met ExpectationsDiscussion of Available Impairment Detection Technologies 3. Content Met Expectations	4. Content Exceeded ExpectationsDiscussion of Available Impairment Detection Technologies 4. Content Exceeded Expectations	5. Extremely Valuable ContentDiscussion of Available Impairment Detection Technologies 5. Extremely Valuable Content
Impairment Education and Recognition Training for Highway/Workplace Professionals	I did not attend this sessionImpairment Education and Recognition Training for Highway/Workplace Professionals I did not attend this session	1. Content Was Far Below ExpectationsImpairment Education and Recognition Training for Highway/Workplace Professionals 1. Content Was Far Below Expectations	2. Content Was Below ExpectationsImpairment Education and Recognition Training for Highway/Workplace Professionals 2. Content Was Below Expectations	3. Content Met ExpectationsImpairment Education and Recognition Training for Highway/Workplace Professionals 3. Content Met Expectations	4. Content Exceeded ExpectationsImpairment Education and Recognition Training for Highway/Workplace Professionals 4. Content Exceeded Expectations	5. Extremely Valuable ContentImpairment Education and Recognition Training for Highway/Workplace Professionals 5. Extremely Valuable Content
End of Day Partner Report Out on Impairment Seen Discussion	I did not attend this sessionEnd of Day Partner Report Out on Impairment Seen Discussion I did not attend this session	1. Content Was Far Below ExpectationsEnd of Day Partner Report Out on Impairment Seen Discussion 1. Content Was Far Below Expectations	2. Content Was Below ExpectationsEnd of Day Partner Report Out on Impairment Seen Discussion 2. Content Was Below Expectations	3. Content Met ExpectationsEnd of Day Partner Report Out on Impairment Seen Discussion 3. Content Met Expectations	4. Content Exceeded ExpectationsEnd of Day Partner Report Out on Impairment Seen Discussion 4. Content Exceeded Expectations	5. Extremely Valuable ContentEnd of Day Partner Report Out on Impairment Seen Discussion 5. Extremely Valuable Content

Please rate the Instructor’s knowledge for each of the courses you attended (Classroom Sessions).

	I did not attend this session	1. Unknowledgeable	2. Slightly Knowledgeable	3. Knowledgeable	4. Very Knowledgeable	5. Extremely Knowledgeable
Law Enforcement Only – Impairment Course	I did not attend this sessionLaw Enforcement Only – Impairment Course I did not attend this session	1. UnknowledgeableLaw Enforcement Only – Impairment Course 1. Unknowledgeable	2. Slightly KnowledgeableLaw Enforcement Only – Impairment Course 2. Slightly Knowledgeable	3. KnowledgeableLaw Enforcement Only – Impairment Course 3. Knowledgeable	4. Very KnowledgeableLaw Enforcement Only – Impairment Course 4. Very Knowledgeable	5. Extremely KnowledgeableLaw Enforcement Only – Impairment Course 5. Extremely Knowledgeable
Introduction to Whole Worker Health and SBIRT	I did not attend this sessionIntroduction to Whole Worker Health and SBIRT I did not attend this session	1. UnknowledgeableIntroduction to Whole Worker Health and SBIRT 1. Unknowledgeable	2. Slightly KnowledgeableIntroduction to Whole Worker Health and SBIRT 2. Slightly Knowledgeable	3. KnowledgeableIntroduction to Whole Worker Health and SBIRT 3. Knowledgeable	4. Very KnowledgeableIntroduction to Whole Worker Health and SBIRT 4. Very Knowledgeable	5. Extremely KnowledgeableIntroduction to Whole Worker Health and SBIRT 5. Extremely Knowledgeable
Discussion of Available Impairment Detection Technologies	I did not attend this sessionDiscussion of Available Impairment Detection Technologies I did not attend this session	1. UnknowledgeableDiscussion of Available Impairment Detection Technologies 1. Unknowledgeable	2. Slightly KnowledgeableDiscussion of Available Impairment Detection Technologies 2. Slightly Knowledgeable	3. KnowledgeableDiscussion of Available Impairment Detection Technologies 3. Knowledgeable	4. Very KnowledgeableDiscussion of Available Impairment Detection Technologies 4. Very Knowledgeable	5. Extremely KnowledgeableDiscussion of Available Impairment Detection Technologies 5. Extremely Knowledgeable
Impairment Education and Recognition Training for Highway/Workplace Professionals	I did not attend this sessionImpairment Education and Recognition Training for Highway/Workplace Professionals I did not attend this session	1. UnknowledgeableImpairment Education and Recognition Training for Highway/Workplace Professionals 1. Unknowledgeable	2. Slightly KnowledgeableImpairment Education and Recognition Training for Highway/Workplace Professionals 2. Slightly Knowledgeable	3. KnowledgeableImpairment Education and Recognition Training for Highway/Workplace Professionals 3. Knowledgeable	4. Very KnowledgeableImpairment Education and Recognition Training for Highway/Workplace Professionals 4. Very Knowledgeable	5. Extremely KnowledgeableImpairment Education and Recognition Training for Highway/Workplace Professionals 5. Extremely Knowledgeable
End of Day Partner Report Out on Impairment Seen Discussion	I did not attend this sessionEnd of Day Partner Report Out on Impairment Seen Discussion I did not attend this session	1. UnknowledgeableEnd of Day Partner Report Out on Impairment Seen Discussion 1. Unknowledgeable	2. Slightly KnowledgeableEnd of Day Partner Report Out on Impairment Seen Discussion 2. Slightly Knowledgeable	3. KnowledgeableEnd of Day Partner Report Out on Impairment Seen Discussion 3. Knowledgeable	4. Very KnowledgeableEnd of Day Partner Report Out on Impairment Seen Discussion 4. Very Knowledgeable	5. Extremely KnowledgeableEnd of Day Partner Report Out on Impairment Seen Discussion 5. Extremely Knowledgeable

If you attended the Cannabis Use Workshop, did you interact with the consumers?

1. Content Was Far Below Expectations	2. Content Was Below Expectations	3. Content Met Expectations	4. Content Exceeded Expectations	5. Extremely Valuable Content
1. Content Was Far Below Expectations1. Content Was Far Below Expectations	2. Content Was Below Expectations2. Content Was Below Expectations	3. Content Met Expectations3. Content Met Expectations	4. Content Exceeded Expectations4. Content Exceeded Expectations	5. Extremely Valuable Content5. Extremely Valuable Content

Please rate the value of information shared and seen while participating in the sobriety assessments.

I did not attend this session	1. Content Was Far Below Expectations	2. Content Was Below Expectations	3. Content Met Expectations	4. Content Exceeded Expectations	5. Extremely Valuable Content
I did not attend this sessionI did not attend this session	1. Content Was Far Below Expectations1. Content Was Far Below Expectations	2. Content Was Below Expectations2. Content Was Below Expectations	3. Content Met Expectations3. Content Met Expectations	4. Content Exceeded Expectations4. Content Exceeded Expectations	5. Extremely Valuable Content5. Extremely Valuable Content

What did you learn in the sessions attended that is applicable to your work efforts?

Would you recommend this program to others?

Please share your thoughts on how to improve the program.

Would you like additional information from the Impairment Technology Partner that was present?

Are individuals in your organization using any impairment testing products/technologies?

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