Webinar Feedback We value your perspective. Thanks for taking a few minutes to share your feedback on the webinar + a bit more about you. On a scale of 1 to 5, 5 being the best, how would you rate your experience with the recent webinar?*5 - Excellent4 - Pretty good3 - Neutral2 - Not so great1- Terrible Have you had experience with 12-Step groups in the past?* Yes No What has been your overall experience with 12-Step Groups?*Have you ever sent clients to SAL 12-Step meetings?* Yes No How has the SAL 12-Step experience been for your clients?*Would you be willing/interested in sending clients to SAL 12-Step meetings?* Yes No Would you be interested in receiving training to become an SAL 12-Step approved therapist?* Yes No Your InformationName* First Name Last Initial Therapy Group* Email* Mailing Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Years in practice* Tell us about your education, training & certifications*Do you have any other feedback you'd like to share with us?* Yes No How can we help?* Δ