Organizational Health Assessment: Background Information Please enable JavaScript in your browser to complete this form. - Step 1 of 4Thank you for your interest in our Organizational Health Program at TEND. Please take a moment to answer a few questions to help us get to know your organization. CONTACT INFORMATIONClient - Name of Business/Organization *Contact Name *FirstLastContact Title *Contact Email *NotesNextORGANIZATION INFORMATIONWhat is the main function of your organization/department? *How many employees do you have in total? *Is your interest in this work a result of a sentinel and/or traumatic event? *YesNoIf you can, please share some details here:NotesPreviousNextEMPLOYEE INFORMATIONHow many employees will be invited to participate in the assessment process? *What types of professions will be participating (lawyer, social worker, psychologist, doctor, nurse, etc.)? *How many employees are full time? *How many employees are part time? *Are there any positions that are contracted out? *YesNoUnsurePlease list contracted positions if possible:What is the demographic distribution of staff? (age, ethnic/racial background, gender, etc.) *What is the average years of service for staff? *Are any staff unionized? *YesNoWhat types of benefits for mental health do staff have? *NotesPreviousNextCOMMENTSIs there anything else you would like us to know about your organization and/or this training?EmailSubmit
