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Colorado Staff Pre-Training Module Survey

1.

For each item, please select the choice that most accurately reflects how you feel.

Space Cell	Very confident	Fairly confident	Somewhat confident	Not too confident	Not confident at all
How confident do you feel in your ability to manage students with life-threatening allergies?	How confident do you feel in your ability to manage students with life-threatening allergies? : Very confident	How confident do you feel in your ability to manage students with life-threatening allergies? : Fairly confident	How confident do you feel in your ability to manage students with life-threatening allergies? : Somewhat confident	How confident do you feel in your ability to manage students with life-threatening allergies? : Not too confident	How confident do you feel in your ability to manage students with life-threatening allergies? : Not confident at all
How confident do you feel in your knowledge about how to prevent exposure to food allergens?	How confident do you feel in your knowledge about how to prevent exposure to food allergens? : Very confident	How confident do you feel in your knowledge about how to prevent exposure to food allergens? : Fairly confident	How confident do you feel in your knowledge about how to prevent exposure to food allergens? : Somewhat confident	How confident do you feel in your knowledge about how to prevent exposure to food allergens? : Not too confident	How confident do you feel in your knowledge about how to prevent exposure to food allergens? : Not confident at all
How confident do you feel in your ability to recognize the symptoms of anaphylaxis (a life threatening allergic reaction)?	How confident do you feel in your ability to recognize the symptoms of anaphylaxis (a life threatening allergic reaction)? : Very confident	How confident do you feel in your ability to recognize the symptoms of anaphylaxis (a life threatening allergic reaction)? : Fairly confident	How confident do you feel in your ability to recognize the symptoms of anaphylaxis (a life threatening allergic reaction)? : Somewhat confident	How confident do you feel in your ability to recognize the symptoms of anaphylaxis (a life threatening allergic reaction)? : Not too confident	How confident do you feel in your ability to recognize the symptoms of anaphylaxis (a life threatening allergic reaction)? : Not confident at all
How confident do you feel in your ability to treat anaphylaxis (a life threatening allergic reaction)?	How confident do you feel in your ability to treat anaphylaxis (a life threatening allergic reaction)? : Very confident	How confident do you feel in your ability to treat anaphylaxis (a life threatening allergic reaction)? : Fairly confident	How confident do you feel in your ability to treat anaphylaxis (a life threatening allergic reaction)? : Somewhat confident	How confident do you feel in your ability to treat anaphylaxis (a life threatening allergic reaction)? : Not too confident	How confident do you feel in your ability to treat anaphylaxis (a life threatening allergic reaction)? : Not confident at all

2.

For each item, please select the choice that most accurately reflects what you think.

Space Cell	Strongly Agree	Agree	Not sure	Disagree	Strongly disagree
It is reasonable to keep allergens out of the classroom where there are students with food allergies.	It is reasonable to keep allergens out of the classroom where there are students with food allergies. : Strongly Agree	It is reasonable to keep allergens out of the classroom where there are students with food allergies. : Agree	It is reasonable to keep allergens out of the classroom where there are students with food allergies. : Not sure	It is reasonable to keep allergens out of the classroom where there are students with food allergies. : Disagree	It is reasonable to keep allergens out of the classroom where there are students with food allergies. : Strongly disagree
It is reasonable to not allow outside food (like baked goods, candy or fruit) in the classroom for celebrations or parties.	It is reasonable to not allow outside food (like baked goods, candy or fruit) in the classroom for celebrations or parties. : Strongly Agree	It is reasonable to not allow outside food (like baked goods, candy or fruit) in the classroom for celebrations or parties. : Agree	It is reasonable to not allow outside food (like baked goods, candy or fruit) in the classroom for celebrations or parties. : Not sure	It is reasonable to not allow outside food (like baked goods, candy or fruit) in the classroom for celebrations or parties. : Disagree	It is reasonable to not allow outside food (like baked goods, candy or fruit) in the classroom for celebrations or parties. : Strongly disagree
Students with food allergies are at risk of being bullied by others in school.	Students with food allergies are at risk of being bullied by others in school. : Strongly Agree	Students with food allergies are at risk of being bullied by others in school. : Agree	Students with food allergies are at risk of being bullied by others in school. : Not sure	Students with food allergies are at risk of being bullied by others in school. : Disagree	Students with food allergies are at risk of being bullied by others in school. : Strongly disagree
If you witness food allergy related bullying it is your responsibility to intervene.	If you witness food allergy related bullying it is your responsibility to intervene.: Strongly Agree	If you witness food allergy related bullying it is your responsibility to intervene.: Agree	If you witness food allergy related bullying it is your responsibility to intervene.: Not sure	If you witness food allergy related bullying it is your responsibility to intervene.: Disagree	If you witness food allergy related bullying it is your responsibility to intervene.: Strongly disagree
Yearly food allergy staff training is important.	Yearly food allergy staff training is important. : Strongly Agree	Yearly food allergy staff training is important. : Agree	Yearly food allergy staff training is important. : Not sure	Yearly food allergy staff training is important. : Disagree	Yearly food allergy staff training is important. : Strongly disagree
Food allergies in school are an important issue.	Food allergies in school are an important issue. : Strongly Agree	Food allergies in school are an important issue. : Agree	Food allergies in school are an important issue. : Not sure	Food allergies in school are an important issue. : Disagree	Food allergies in school are an important issue. : Strongly disagree
Families in your school have reasonable concerns and expectations about the management of their child with food allergies.	Families in your school have reasonable concerns and expectations about the management of their child with food allergies. : Strongly Agree	Families in your school have reasonable concerns and expectations about the management of their child with food allergies. : Agree	Families in your school have reasonable concerns and expectations about the management of their child with food allergies. : Not sure	Families in your school have reasonable concerns and expectations about the management of their child with food allergies. : Disagree	Families in your school have reasonable concerns and expectations about the management of their child with food allergies. : Strongly disagree
In general, I handle emergency situations well.	In general, I handle emergency situations well. : Strongly Agree	In general, I handle emergency situations well. : Agree	In general, I handle emergency situations well. : Not sure	In general, I handle emergency situations well. : Disagree	In general, I handle emergency situations well. : Strongly disagree
I handle health related emergencies well.	I handle health related emergencies well. : Strongly Agree	I handle health related emergencies well. : Agree	I handle health related emergencies well. : Not sure	I handle health related emergencies well. : Disagree	I handle health related emergencies well. : Strongly disagree
I believe that I would handle an allergic emergency well.	I believe that I would handle an allergic emergency well. : Strongly Agree	I believe that I would handle an allergic emergency well. : Agree	I believe that I would handle an allergic emergency well. : Not sure	I believe that I would handle an allergic emergency well. : Disagree	I believe that I would handle an allergic emergency well. : Strongly disagree