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Please answer the questions below. Your responses will be kept secure, and will be summarized only in aggregate with those of other respondents. Individual, identifiable responses will NOT be shared.
What is your highest level of education?
BSW
MSW
DSW or PhD
Other (if so, please specify)
In which setting(s) are you currently employed? Please select all that apply.
School
Correctional facility
Health care facility
Child Welfare
Senior Center
Military
Private practice
Other (if so, please specify)
Do you hold any other certifications? If so, please specify:
No
Yes
My practice has a protocol to screen all patients/clients for risky alcohol and/or other substance use (including tobacco, marijuana, and opioids).
Yes, for alcohol
Yes, for other substances (if so, please specify)
No
Don't know
Does not apply to my practice setting
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