A. Demographic Information
Please confirm:
Your Gender
Do
you have a disability
Your
Age

B.
Training
Please rank the following, using a scale of 1 to 5
where 1=(Not Important) to 5=(Important)
In House Training:
Professional
Journals:
Web-Based Education:
Books:
Postsecondary Courses:
Training Provided by City or State Agencies:
Other:
Customer
Relations Training Needs:
Methods
to improve communication:
Problem-solving techniques/ Conflict Resolution:
Negotiation Skills:
Collaboration:
Informed Choice:
Other:
Organisational
Development Training Needs:
Supervisory
Skills:
Adapting to Change:
Leadership Skills:
Team Building:
Coaching/
Mentoring:
Recruitment
& Retention:
Performance Evaluation:
Other:
Technology
Training Needs:
Accessing
Web Resources:
Assistive Technology:
Basic Computer Operation/ Orientation:
Word Processing:
Advice/ Support:
Other:
Personnel
Development Training Needs:
Job
Development:
Ethics:
Benefits Counseling:
Positive Behavioral Support:
Knowledge of Disability Groups:
Dealing with Difficulty Behavior:
Multicultural Sensitivity Training:
Other:
Preferred
Methods of Training:
Workshops/
Seminars:
Self-guided study (reading, Web, video):
One-on-one:
Classroom Instruction:
Teleconferences:
Other:
Factors
That Influence Your Participation in Training:
Travel
Distance to Training:
Lack of Monetary Support:
Lack of Agency Encouragement:
Not Interested in Topics:
Lack of Training Notification:
Time Not Convenient:
Other:

C. Overall Comments
Please tell us what you believe to be the most important
training needs in your state for community rehabilitation
providers:
Please list a few of the best trainings you've received
and why you benefited from them:
Other comments, ideas, or suggestions appreciated:

Thank you for your consideration and participation!!
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