Attachment 11: ATTITUDES QUESTIONAIRE
Web-based Skills Training for SBIRT (Screening Brief Intervention and Referral to Treatment)
August 2011
OMB # 0925-XXX
Expiration Date xx/xxxx
Public reporting burden for this collection of information is estimated to average less than 2 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Each time the assessment is completed, it is expected to be completed in a single sitting. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*). Do not return the completed form to this address.
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SBIRT Attitudes – administered at Baseline and Post-test
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Strongly disagree (-2) |
Somewhat disagree (-1) |
Neither agree nor disagree (0) |
Somewhat agree (1) |
Strongly agree (2) |
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File Type | application/msword |
Author | kcarpenter |
Last Modified By | curriem |
File Modified | 2011-08-24 |
File Created | 2011-08-24 |