Inter-Faith Workshop Survey Post-Test
Please answer the following questions as honestly as possible. Your answers will be kept confidential.
Date of Birth:
1. Which of the following is true?
The more education an individual has, the less likely he/she is to abuse substances.
The lower one's socioeconomic status, the more likely he/she is to abuse substances.
Both are true.
Neither is true.
2. Who among the following is "safe" from developing a drinking problem?
Tim, a married 40-year-old father of four.
Tom, a divorced 40-year-old father of four.
Jill, a single 30-year-old living with her parents.
Both Tim and Jill.
None of the above is safe.
3. Jennifer's parents come to you concerned she has a drinking problem because they have discovered she has been drinking for the past month. From this, you deduce:
Jennifer most likely has a drinking problem and needs treatment.
Jennifer most likely has a drinking problem but doesn't need treatment.
It is unlikely Jennifer has a drinking problem.
Not enough information to accurately assess.
4. I feel comfortable discussing substance use issues with members of my congregation.
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
5. It is important to discuss substance use with my congregation.
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
6. I feel confident recognizing the signs and symptoms of problematic substance use.
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
7. I know what to do if I feel someone needs substance abuse treatment.
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
8. How likely are you to use the information you learned on how to recognize the signs and symptoms of substance abuse in your work?
Not at all Likely
Not Likely
Somewhat Likely
Likely
Extremely Likely
9. How likely are you to use the information you learned on the risk and protective factors for substance abuse in your work?
Not at all Likely
Not Likely
Somewhat Likely
Likely
Extremely Likely
10. How satisfied are you with the amount of information you received?
Very Dissatisfied
Dissatisfied
Neither Satisfied nor Dissatisfied
Satisfied
Extremely Satisfied
11. How satisfied are you with the depth of the information you received?
Very Dissatisfied
Dissatisfied
Neither Satisfied nor Dissatisfied
Satisfied
Extremely Satisfied
12. How satisfied are you with the format of the workshop?
Very Dissatisfied
Dissatisfied
Neither Satisfied nor Dissatisfied
Satisfied
Extremely Satisfied
13. Which parts of the meeting, or pieces of the information did you find particularly useful?
14. Which parts were less helpful or useful?
15. What would you like to see covered in an intermediate level training?
16. When would be the best day and time to meet for subsequent seminars?
17. How was the length of the seminar?
Should be shorter
About right
Should be longer
Thank you!