Prescription Opioid and Stimulant Prevention Toolkit For Rural Youth Parental and Action Training Module

Thank you for participating, please take a few minutes to fill out this survey.

 

Q1 Please enter the county you live in: 

Q2 Please indicate how you received the Parent Awareness and Action Training Module presentation:   

  • It was presented to me. (IF SO, please indicate below the organization who provided the presentation AND the date the presentation was given) 
  • I accessed the unnarrated PowerPoint slides on the website and read through the module on my own.
  • I accessed the narrated PowerPoint slides on the website and listened to the module on my own.

Q3 As a result of attending/viewing the Parent Awareness and Action Training Module, I gained more knowledge and understanding about the following topics.  

 

Yes

Somewhat

No

Unsure

Understanding of why opioids and stimulants are of concern.

 

  

 

 

Understanding the basics of adolescent development.

  

 

  

  

Identify risks and resilience factors related to opioid and stimulant use in youth

 

  

  

  

How to recognize signs of opioid and stimulant use in youth.

 

  

  

  

How to start conversations with youth suspected of using opioids or stimulants.

  

  

  

  

Identify strategies for being an advocate for youth in my community.

  

  

  

  

 

Q4 As a result of attending/viewing the Parent Awareness and Action Training Module, I feel more confident talking about prescription opioids and stimulants to members of my community (e.g. family, friends, co-workers, students, etc.).

  • Yes
  • Unsure (Please explain what information you would need to feel confident) 
  • No (please explain) 

Q5 I plan to take what I learned in the Parent Awareness and Action Training Module and apply it to my personal and/or professional life.  

  • Yes
  • Maybe
  • No

Q6 Based on your satisfaction level please rate the following (Please write number in the column.  0 being the lowest satisfaction rating and 10 being the highest satisfaction rating)

 

0

1

2

3

4

5

6

7

8

9

10

 

PowerPoint Presentation

 

Presentation time

 

Educational print materials/handouts

 

Public Service Announcement Videos

 

 

Q7 Comments you would like to make about how we could improve the Parent Awareness and Action Training Module

Q8 I would recommend the Parent Awareness and Action Training Module to someone in my community (e.g. family, friends, co-workers, students, etc.).

  • Yes
  • No (if not please explain why)