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First Name
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Your answer
Last Name
*
Your answer
What is the name of the organization, institution, or business with which you are affiliated?
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Your answer
What is your current role?
Your answer
How did you learn about this training?
WI-HER Website
Other organization's website
Someone else who had completed the training
Other:
Have you ever participated in data collection or a community assessment?
Yes, I have participated in both
Yes, I have participated in data collection
Yes, I have participated in a community assessment
No, I have not participation in either
Other:
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At this time, how comfortable would you feel completing data collection?
Not comfortable at all
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3
4
5
Extremely comfortable
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At this time, how comfortable would you feel completing a community assessment?
Not comfortable at all
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2
3
4
5
Extremely comfortable
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