Please rate your current confidence in your knowledge and skills in the following areas (Scale of: 1 -not at all confident; 2 - somewhat confident; 3 - confident; 4 - very confident; 0 - N/A)
Please rate the degree to which your practice now does the following items (Scale of 1 - Never, 2 - Rarely, 3 - Sometimes, 4 - Most of the Time, 5 - Always, 0 - N/A):
Do you feel the changes made as a result of the SFF project improved efficiency related to identifying smoke exposure and made discussions with families more efficient (reduced waste, avoided duplication, made things run smoother)? (Select one)
Do you plan to sustain any changes in practice made as a result of the Smoke Free Families project following the end of the Learning Collaborative? (Select one)
What changes will be sustained (select all that apply):
How often do you expect to use the changes made in the practice (select all that apply):
Why does your practice plan to stop any changes made during the SFF project (select all that apply):
What was the most helpful part of this project for improving your practice?
How helpful were the monthly action period calls in implementing the SFF project?
Which components of the monthly action period calls were most helpful?
Would you recommend the SFF Project to other practice sites or colleagues?
Would your practice be interested in participating or receiving information on Wave 4?