CEBC Screening Survey

Are you willing to fill out a multipage questionnaire giving details about your program, including relevant research and essential components of your program? *This question is required.

• Yes
• No

Does your program have a written manual that allows others to replicate the program? *This question is required.

• Yes
• No

Is there formal training available to interested individuals and/or agencies on how to implement your program? *This question is required.

• Yes
• No

Are you willing to provide consultation to individuals and /or agencies who are interested in implementing your program? *This question is required.

• Yes
• No

If training or consultation is not available, can your program be purchased directly (e.g., online education program)?

• Yes
• No

Are you the original developer? *This question is required.

• Yes
• No