Online Training Needs Assessment Survey

RSA Region V CRP-RCEP University of Illinois at Urbana-Champaign Online Training Needs Assessment Survey
Results from this RSA Region V CRP-RCEP survey will be used to assess and strengthen its services to community rehabilitation providers. Your perspective is important to us and we hope that you will participate in this process. All of the information you provide will be kept confidential. If you have any questions or would like technical assistance or training, please email Tony Plotner at plotner@uiuc.edu. To thank you for taking the time to help us, a $25.00 voucher for one future RSA Region V CRP-RCEP training will be made available to you upon submission of this completed survey. Please give us your name with snail mail contact information in the last box. Thank you!

*A. Demographic Information*
1	Gender	Male Female
2	Disability	Yes No
3	Age	Under 50 Over 50
4	Race/Ethnicity	American Indian/ Alaskan Native Asian American Black/ African-American White, not of Hispanic origin Hispanic/Latino Other If Other, please specify:
5	Employment Affiliation	State Agency Community-Based Program Other If Other, please specify:
6	Your State
*B. Training* Please rank the following, using a scale of 1 to 5 1(Least Important) to 5(Most Important)
What sources of continuing education do you currently use?		1 Least Important	2	3	4	5 Most Important
7	In House Training:
8	Professional Journals:
9	Web-Based Education:
10	Books:
11	Postsecondary Courses:
12	Training Provided by City or State Agencies:


13	Other:
Customer Relations Training Needs
14	Methods to improve communication:
15	Problem-solving techniques/ Conflict Resolution:
16	Negotiation Skills:
17	Collaboration:
18	Informed Choice:
19	Other:
Organizational Development Training Needs
20	Supervisory Skills:
21	Adapting to Change:
22	Leadership Skills:
23	Team Building:
24	Coaching/ Mentoring


25	Recruitment & Retention:
26	Performance Evaluation:
27	Other:
Technology Training Needs
28	Accessing Web Resources:
29	Assistive Technology:
30	Basic Computer Operation/ Orientation:
31	Word Processing:
32	Software Advice/ Support:
33	Other:
Personnel Development Training Needs
34	Job Development:
35	Ethics:
36	Benefits Counseling:
37	Positive Behavioral Support:
38	Knowledge of Disability Groups:
39	Dealing with Difficulty Behavior:
40	Multicultural Sensitivity Training:
41	Other:
Preferred Methods of Training
42	Workshops/ Seminars:
43	Self-guided study (reading, Web, video):
44	One-on-one:
45	Classroom Instruction:
46	Teleconferences:
47	Other:
Factors That Influence Your Participation in Training
48	Travel Distance to Training:
49	Lack of Monetary Support:
50	Lack of Agency Encouragement:
51	Not Interested in Topics:
52	Lack of Training Notification:
53	Time Not Convenient
54	Other:

C. Overall Comments

55. Please tell us what you believe to be the most important training needs in your state for community rehabilitation providers.

56. Please list a few of the best trainings you've received and why you benefited from them.

57. Other comments, ideas, or suggestions appreciated:

58. Your name and mailing address - we will send voucher via US mail.

59. Your email if you'd like to subscribe to our free listserv.:

Yes, I'd like to subscribe to the RSA Region V CRP-RCEP listserv (e-mail with your name required in above box)

When you have finished all your responses, click the "Submit" button below.
Thank you for your consideration and participation!!