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Ask, Advise, Refer Post-Training Survey

Intro

Thank you for taking the time to complete the "Ask, Advise, Refer to Quit Don’t Switch" post-training survey. It is critical to collect feedback from you and completion of this survey is required to obtain CEU credits.

This survey aims to collect feedback for the development of future training modules, webinars, and information sessions regarding the Ask, Advise, Refer to Quit, Don't Switch brief intervention model. The information collected in this survey will be used to help the American Lung Association to improve the content, structure and efficacy of future training. The data we collect in this survey will not be shared outside of the American Lung Association and its evaluator, Public Health Management Corporation; it will solely be used for quality improvement purposes. This survey should take approximately 15 minutes to complete. 
 
1. Before you begin, please confirm that this contact information is correct:

First Name: 
Last Name:
E-mail:
Desired CEU Credit: NONE
  *This question is required.
If not correct, please contact Alex Battaglia at abattaglia@phmc.org.