On-Site Training Needs Assessment Tool References

On-Site Needs Assessment Tool

Find the perfect fit for your facility. Complete the following questionnaire and CPI will provide you with a free, no-obligation customised cost proposal for training at your organisation.

In addition, we will also send you a complimentary 10 Tips for Crisis Prevention poster and a Free Pass to attend one of CPI's One-Day Seminars at the location nearest you.

First Name
Last Name
Title/Department
Organisation Name
Org. Address
Org. Address (Line 2)
City/Town
County/State
Country
Postal Code
Direct Phone
Fax
Email

1. Please describe the nature of your organisation:


2. How many employees are in your organisation?

3. How many employees are you planning to train?

4. Are you the decision maker for on-site training?
	yes no
If NO, please provide the name of the person who is the decision maker and contact information:

5. Has a budget been established for this training?
	yes no
If YES, any information you can provide about the budget (amount, type, fiscal information, etc.) will assist CPI in providing you a more comprehensive training package proposal:

6. Have you established a date to begin training your staff?
	yes no
7. Does your organisation currently have crisis response/violence prevention policies and procedures?
	yes no
8. Why are you (or your organisation) interested in the topic of managing disruptive and challenging behavior? (Please check all that apply.)
	Increase staff morale
	Increase safety
	Reduce disruptive incidents
	An incident occurred
	Reduce assaultive incidents
	Decrease seclusion and restraints
	Decrease injury compensation claims
	Valuable networking among staff
	To be proactive
	To comply with regulation, legislation, or accreditation (If you select this option, please complete question 13 below.)
9. If you are interested in this topic because regulations/legislation require training, please provide the name of the mandate or legislative action:

10. Please list any additional information, comments or queries you have regarding your On-Site Needs Assessment:

Thank you for completing this form! For more information, please ring 0161 929 9777 or email enquiries@crisisprevention.com.