1. Please provide your name, agency and contact number.

2. Are you with a: (Check all that apply.)

3. Would you be interested in receiving a training on: (Check all that apply.)

Selecting an appropriate evidence-based prevention program
Making data driven decisions (Needs Assessment)
MEGS application training
Parent Involvement
Evaluation
MAGIC application training
Other (You will have an opportunity for suggestions in question 6)

4. What time of year would be best to attend a SDFS coordinators meeting hosted by ODCP? (Check one please.)

Winter (Dec.-Feb.)
Spring (Mar.-May)
Summer (June-Aug.)
Fall (Sept.-Nov.)

5. What is the most preferable location for a training or coordinators meeting? (Check one please.)

Ingham County-Lansing Area
Wayne County-Detroit Area
Mid Michigan
Other

6. How many times a year would you like to meet for a training or SDFS coordinators meeting? (Check one please.)

Once
Twice
Other

7. Please list any other topics on which you would like to receive training.