FOCUS Questionnaire

Thank you for taking the time to complete this brief questionnaire.  Your input is important to us and will assist us in building training programs to best meet your needs.  Please click the submit key once you have responded.  Thank you again for making FOCUS successful.

1. What type of training would best fit your needs?
(Please select all that apply)

Assessment & Behavioral Plans

Autism         

Cultural Competence                            

Clinical Best Practices                                  

Ethics     

Grief & Loss 

Guardianship 

Health Issues 

Human Resources Issues

Innovation in Employment

Issues of Aging    

Information about DCH Requirements     

Leadership & Team Development

Natural Supports                                

Organization & Time Management

Quality Management

Seizure Disorders                                   

Spirituality 

Stress Reduction

Other

2. Please complete the following statement: The most relevant topic for me now is . . .  

3. How often do you attend training conferences or workshops?
Every two to three weeks
Once a month
Every six months
Once a year
Do not attend training

4. What is a reasonable price for a training event?

One-Day                                         Two-Day
$395                                            $395
$295                                            $295
$195                                            $195                                               
$95                                              $95
Other

5. In what location do you prefer to attend training?

Northern Michigan
Ann Arbor, Michigan
Lansing, Michigan
Grand Rapids, Michigan
Kalamazoo, Michigan
Other

6. When is the best month(s) for you to attend a conference?

(Select all that apply)
January        April        July             October
February      May        August         November
March          June        September   December

7. How would you like to be notified about events in the future?
(with 0 being Not Interested and 5 being Highly Interested)

Distribution Method

0

1

2

3

4

5
E-Mail
Web/Intranet
Person to Person
Fax
Paper-based
Opt Out

8. Optional. To be notified of upcoming FOCUS Training events please fill in the following?

* Name:
Salutation:
(e.g. Mr. Mrs. Dr.)
Position/Title:
* Organization:
Department:
   
* Address:
Address 2:
* City:
* State/Province:
* Zip/Postal Code:
* Contact Phone: Ext.
* E-mail Address:
Fax: