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6 Month Follow Up Survey

Please complete this survey 6 months AFTER participating in the W5 training program.


Demographic information is used to better understand certain background characteristics of an audience, whether it is age, race, ethnicity, income, work situation, marital status, etc.

Occupation (check all that apply)

Child Abuse and Neglect Questions

Please read each and select your answers. Read statements and select if the statement is true (accurate) or false (inaccurate). Please read the questions and select answers.

All adult individuals are mandated to report any form of child abuse and neglect in North Carolina.
I do not report abuse or neglect if it happened a long time ago.
I do not report child abuse if both the "victim" and "offender" are children.
I am required to give my name and phone number when making a report of child abuse and neglect to the Dept. of Social Services.
Spanking is not considered abuse as long as it is reasonable and causes no bodily injury to the child.
Child sexual abuse always involves physical contact and/or sexual intercourse with a child.
The law states that I am no longer obligated to make a report of child abuse so long as I communicate the information to someone who says they will make the report on my behalf.
Do you have a personal experience or have a sensitivity to traumatic realities that makes the topic of abuse/neglect difficult?
What can you do if you have a concern about a child being abused or neglected? (check all that apply)
What can you do if a child discloses abuse or neglect to you directly? (check all that apply)
When an adult comes to you with concerns of child abuse or neglect of a child what can you do? (check all that apply)
Where should your mandated report of child abuse and neglect be made? (check all that apply)

Application of Training:

Have you encountered a situation where you utilized the knowledge from the W5 training?
Did you feel prepared to handle the situation because of the W5 training?

Reporting Behavior:

Since completing the W5 training, have you had to report a case of child abuse or neglect?
If yes, did you feel confident in reporting it effectively?

Feedback and Suggestions:

Overall Impact:

Would you recommend the W5 training to others?

Thanks for submitting!

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