National Child Traumatic Stress Network

The Promise of Trauma-focused Therapy for Childhood Sexual Abuse: Web Tracking Survey

Prior to viewing The Promise of Trauma-focused Therapy for Childhood Sexual Abuse, we request that you complete this brief survey.

1. Where are you located?

City:

State:

2. What is your email address?

Email:

3. In what way do you intend to use the video?

4. What is your primary role? Please select one.

Director/Program Manager/Coordinator	Mental Health Worker
Psychiatrist	Child Protective Services Case Worker
Psychologist	Mental Health Case Manager
Health Provider	Nurse
Physician	Supervisor
Social Worker	Trainee
Parent/Caretaker	School Staff (e.g. counselor, teacher)
Other (please specify)