CBT-Iweb

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First Name

Last Name

Are you a licensed health/mental health provider or trainee?

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How many post-graduate years have you been working?

How many years has it been since you completed your undergraduate degree?

What is your highest education level?

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What is your primary field?

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What is your setting (select all that apply)

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What percentage of your current assignment is spent in clinical work?

What percentage of your clinical time to do you spend delivering cognitive behavioral therapy? What percentage of your clinical time is spent assessing and/or treating sleep disorders? Approximately what percentage of your patient population is active duty? Approximately what percentage of your patient population is veteran?

Tell us about any exposure you have had to CBTI (e.g., 1 hour lecture, read articles, included in course content, etc.)

In what region do you live and practice?

* Following completion of the training CEs are available for a $65 fee. If you have a mail.mil or va.gov email address you are eligible for discounted CEs ($10 fee).

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