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FFS Facilitator Recertification/Refresher Training June 2021 American Lung Associ American Lung Association American Lung Association merican Lung Association can Lung Association

FFS Facilitator Recertification/Refresher Training American

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Page 1: FFS Facilitator Recertification/Refresher Training American

FFS Facilitator Recertification/Refresher Training

June 2021Americ

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Page 2: FFS Facilitator Recertification/Refresher Training American

Eva Book, BS, CHES

National Manager, Tobacco Programs

Chicago, IL

Presenters

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Jennifer Folkenroth, BA, CTTS, NCTTP, NDS

National Senior Director, Tobacco Programs

Camp Hill, PAAmeric

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Page 3: FFS Facilitator Recertification/Refresher Training American

Please use the Q&A feature to ask our team questions. We will follow up

with you after the training if we are unable to address your questions

because of time restraints.

We are here for you!

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Page 4: FFS Facilitator Recertification/Refresher Training American

• Program Accomplishments

• Program Implementation and Updates

• Implementation Challenges and Lessons Learned

• Facilitator Resources and Trainings

• Priority and Emerging Issues

• American Lung Association Initiatives

• Facilitator Expectations

Agenda

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Page 5: FFS Facilitator Recertification/Refresher Training American

View and participate in the Recertification Webcast

Recertification Process

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Complete the Post-Training Evaluation

Sign and send in the Acknowledgement of Agreements Form to [email protected] after reading through the Facilitator Agreement Form, Virtual Training Addendum Agreement Form and the Digital Material Addendum Agreement Form.

Receive your 3-year Facilitator Certificate of Completion

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Page 6: FFS Facilitator Recertification/Refresher Training American

Polling Question

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Are you participating in today’s webcast as a recertification or as a refresher course?

a) Recertification. My 3-year certification is about to expire.

b) Refresher. To collect new information and resources to enhance my delivery of FFS.

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Page 7: FFS Facilitator Recertification/Refresher Training American

Program Accomplishments

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Page 8: FFS Facilitator Recertification/Refresher Training American

Some key findings from the results of our implementation evaluation are below:

• Over 50% of respondents found the FFS virtual clinic ‘Easy’ or ‘Very Easy’ to facilitate

• Nearly 50% of respondents found ‘Session 8: Celebration’ difficult to facilitate in a

virtual format

• While 81% of respondents reported that the virtual FFS delivery model is an effective way

for participants to learn the FFS content, over one third of facilitators were less then satisfied

facilitating their virtual clinic compared to in-person clinics.

Virtual Clinic Implementation Survey Results

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Nationwide Facilitators Share their Thoughts

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Page 9: FFS Facilitator Recertification/Refresher Training American

• The most common implementation barrier reported was 'participant technology issues', with

75% of respondents experiencing this barrier.

• The most requested technical assistance service was 'lists of virtual activities and

resources', with over 80% of facilitators requesting.

Further discussion of virtual clinic implementation will be later within the presentation.

Virtual Clinic Implementation Survey Results

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Continued..

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Page 10: FFS Facilitator Recertification/Refresher Training American

Program Implementation and Updates

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Page 11: FFS Facilitator Recertification/Refresher Training American

• Facilitator-led in-person group clinics

• Self-paced on any digital device

• FFS Plus

• Telephonic support/counseling

• Lung Helpline & Tobacco Quitline

• Self-guided workbook

• Self-Help Guide

• Online social support community

• INSPIRE

• Facilitator-led virtual group clinics

Delivery Methods

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Freedom From

Smoking

Freedom From Smoking In-person

Clinics

Freedom From Smoking

Virtual Clinics

Freedom From Smoking

Online Social Support

Community

Lung HelpLine & Tobacco

Quitline Counseling

Freedom From Smoking

Self-Guided Program

Freedom From Smoking Plus

Online Program

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Page 12: FFS Facilitator Recertification/Refresher Training American

• Transition from "smokefree" to "tobacco-free"

• Smoking/cigarettes updated to smokeless, e-cigarette/vaping via

"smoke, vape or chew"

• Transition from "addiction" and "habit" to "dependency" per ATTUD

guidance

• New section on e-cigarettes and vaping device secondhand aerosol

• Quit medications further defined as FDA-Approved

• Generic medication names included behind brand-names to support

easier access

Curriculum Updates

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2021 FFS Revisions

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Page 13: FFS Facilitator Recertification/Refresher Training American

• Supplemental enhancement resources on Lung.org webpages

• More diversity in imaging

• LGBTQ+ inclusive

• New cost calculator

• Pack tracks transitioned to "Nic-Checks"

• Lower-carb snack recommendations to be inclusive of those with

diabetes

Curriculum Updates

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2021 FFS Revisions

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Page 14: FFS Facilitator Recertification/Refresher Training American

• Inclusion of Saved by the Scan to assess risk

for lung cancer

• Updated statistics

• Free downloadable relaxation/breathing

exercises

• Old publisher logo removed

• New Lung Association branding

Curriculum Updates

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2021 FFS Revisions Continued

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Page 15: FFS Facilitator Recertification/Refresher Training American

Polling Question

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Do you share the Saved By The Scan lung cancer risk quiz with your FFS participants to help them determine their eligibility for screening for lung cancer via low-dose CT scan?

a) Yes. Screening is key to early detection.

b) No. I do not discuss screening for lung cancer risk using the quiz on SavedByTheScan.org

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Page 16: FFS Facilitator Recertification/Refresher Training American

Implementation Challenges and Lessons Learned

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Page 17: FFS Facilitator Recertification/Refresher Training American

• What virtual platform will you use and why?

o How will you assist participants and educate them on how to use that platform?

▪ Mute/unmute, turn camera on and off, how to use the chat functions, etc.

• How will you market your clinic?

o Social media, provider's offices, community bulletin boards (in-person of virtual), Lung.org, etc.

• How will participants get their participant kits?

o Drive by or pick up, through the mail, personal drop off, etc.

• How to set up payment?

o Work with finance in advance, couple registration with payment if possible.

• What forms need to be filled out and how will you handle the questionnaires?

o Can you put them within Google Docs? Does everyone have access to get the documents via Docs or email? Could they text responses to you?

How to Offer FFS Virtually – Orientation from ALA Staff

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Before the Clinic Begins

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Page 18: FFS Facilitator Recertification/Refresher Training American

During the Clinic

• What files will you need to run your clinic and how will you use them?

o Do you have a PowerPoint slide presentation for every week? How to include pages from the workbook into the presentation?

• How can you record meeting notes in real time?

Helpful tips:

• Send out notes and a short recap after each class.

• Continue to review Session 1 and the agenda throughout the 8 weeks to stay on track

during clinics.

• Use the buddy system.

o Quitline services are available for clinic participants. Support with participants within your clinic.

▪ 1-800-QUITNOW

How to Offer FFS Virtually – Orientation from ALA Staff

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Page 19: FFS Facilitator Recertification/Refresher Training American

Share an informative video each week. The

American Lung Association's Quit Smoking

Help YouTube playlist includes videos

around the following:

o How to create a quit plan

o Three-link chain of addiction

o Why it's hard to quit

o 5 ways to resist the urge to use tobacco

o Learn to say "No"

o Health benefits of quitting

o How Smoking Impacts Your Lung Health

Strategies for Virtual Implementation

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Virtual Activities for Clinic Implementation

https://bit.ly/LungDemo

https://bit.ly/ALAQuit

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Page 20: FFS Facilitator Recertification/Refresher Training American

• Share success stories with clinic participants.

o Illinois Tobacco Quitline Success Stories on YouTube: Tracy and Leslie

o Your own clinic participants success and struggles from previous clinics

• Practice their breathing exercises throughout the week using the MP3 code that participants

receive with their participant kit.

Want to share successes or lessons learned from your virtual clinic? Email [email protected]

Strategies for Virtual Implementation

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Virtual Activities for Clinic Implementation

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Page 21: FFS Facilitator Recertification/Refresher Training American

Polling Question

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Have you facilitated a Freedom From Smoking group class since March 2020?

a) Yes. I continued to deliver FFS in-person face-to-face during the pandemic.

b) Yes. I've delivered FFS remotely by web platform (Skype, Zoom, etc.) with participant web cameras on.

c) Yes. I've delivered FFS remotely by web platform (Skype, Zoom, etc.) without participant web cameras on.

d) Yes. I've delivered FFS remotely by telephone.

e) No. I have not delivered FFS since March 2020.

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Page 22: FFS Facilitator Recertification/Refresher Training American

Facilitator Resources and Trainings

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Page 23: FFS Facilitator Recertification/Refresher Training American

• Supplemental Enhancements

• Ordering FFS Clinic Materials

• FFS Clinic Promotion

• Lung Champion

• Video Links

• Additional Resources

http://bit.ly/FFSClinicResources

FFS Facilitator Clinic Resources

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FFSClinicResources

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Page 24: FFS Facilitator Recertification/Refresher Training American

Participation in American Lung Association's Freedom From Smoking Inspire Online Discussion

and Support Community has grown over 500% in 5 years. This is an incredible resource for

those individuals who are looking to go tobacco-free, as well as those who are wanting to assist

tobacco users in quitting for good. Benefits include:

• Stay connected to others along quit journey

• Give and receive peer to peer support

• Information about cessation medications

• Tobacco cessation strategies

• Success stories

https://www.inspire.com/groups/freedom-from-smoking/

INSPIRE Community

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Free Online Peer to Peer Support Community

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Page 25: FFS Facilitator Recertification/Refresher Training American

Polling Question

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Do you currently refer your Freedom From Smoking Program participants into American Lung Association's Freedom From Smoking Inspire Online Discussion and Support Community to provide continued peer-to-peer support after Session 8?

A) Yes

B) No

C) This is a new resource to me

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Page 26: FFS Facilitator Recertification/Refresher Training American

Updated Virtual Trainings on Lung.Training

The American Lung Association’s Tobacco Basics is a free one-hour online course that

includes five online learning modules designed to lay the foundation in understanding the toll of

tobacco use in the U.S.

In this course participants will learn:

• The difference between tobacco products

• Including e-cigarettes and vaping devices

• The effects of tobacco use on the human body and brain

• Nicotine dependence and why quitting is so challenging

• Proven policies that protect public health from the toll of tobacco

• Programs available to help all tobacco users successfully quit for good

Tobacco Basics

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Page 27: FFS Facilitator Recertification/Refresher Training American

Updated Virtual Trainings on Lung.Training

The American Lung Association’s How To Help People Quit training is a free, one-hour online

course that includes four interactive learning modules designed to further enhance

understanding of the Lung Association’s core beliefs about tobacco cessation, as well as

understanding behavior changes, interventions and treatment needed to help people quit for

good.

Specifically, participants of this course will enhance their skill set in:

• Recognizing the types of resistance to change

• Conducting brief interventions

• Utilizing principles of Motivational Interviewing to resolve uncertainty

• Identify FDA-approved medications to help individuals break tobacco dependency

• Connect quitters with American Lung Association’s tobacco cessation resources for both

youth and adults

How to Help People Quit

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Page 28: FFS Facilitator Recertification/Refresher Training American

Priority and Emerging Issues

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Page 29: FFS Facilitator Recertification/Refresher Training American

1) The American Lung Association will defeat lung cancer.

2) Champion clean air for all.

3) Improve the quality of life for those with lung disease and their families.

4) Create a tobacco free future.

Each imperative is constructed with the idea that achieving healthy equity must be the foundation of

any Lung Association goal, objective or strategy.

ALA Strategic Imperatives

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Goals for a Healthier Future

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Page 30: FFS Facilitator Recertification/Refresher Training American

• African American/Black Communities

• Behavioral Health Population

• Native/Tribal Regions

• Latino/Hispanic Population

• Asian American and Pacific Islanders

• LGBTQ+ Community

Equity and Inclusion

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Our vision is to embrace diversity, equity, and inclusion within the Lung Association and the communities we serve.

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Page 31: FFS Facilitator Recertification/Refresher Training American

• Over 40% of adults who smoke do not receive

advice to quit from a healthcare professional.

• Fewer than one in three adults who smoke use

cessation counseling or FDA-approved

medications when trying to quit.

• Fewer than one in 10 U.S. adults successfully quit

smoking each year.

2020 U.S. Surgeon General’s Report

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Challenges we Face to Further Reduce Smoking

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Page 32: FFS Facilitator Recertification/Refresher Training American

• Ask, Advise, Refer to Quit, Don’t Switch

• Brief tobacco intervention training

• Proven-effective cessation strategies

• 1-hour, on-demand

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Take Action!

Complete this training by visiting

https://lung.training/courses/ask-advise-refer-to-quit-dont-switch.html

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Page 33: FFS Facilitator Recertification/Refresher Training American

• All tobacco users can quit for good using approved

quit smoking medication plus behavioral counseling

• There are seven Food and Drug Administration (FDA)

– approved medications and three forms of counseling

that are both safe and effective in helping smokers

quit. FDA found these seven products to be safe and

effective.

Effective Quit Attempts

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Page 34: FFS Facilitator Recertification/Refresher Training American

Ending the Epidemic Among Youth

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Page 35: FFS Facilitator Recertification/Refresher Training American

• Intervention for Nicotine Dependence: Education,

Prevention, Tobacco and Health

• Mandatory, alternative to suspension program

• Trained adults facilitate four, 50-minute sessions

• Program addresses nicotine dependence,

establishing healthy alternatives and how to kick the

unhealthy addiction.

Access this free training:

https://lung.training/courses/indepth.html

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Page 36: FFS Facilitator Recertification/Refresher Training American

• Not On Tobacco – Program updated in 2020

• Evidence-based voluntary youth cessation

program

• Facilitators trained via Lung.Training

• Trained adults facilitate ten sessions, each

about 50 minutes

• Small groups (6-10 participants) can be

conducted in person or virtually

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NOT For Me is a self-guided, web-based app that leverages the

American Lung Association’s evidence-based N-O-T Not On

Tobacco® program to help teens break nicotine dependency, no

matter what tobacco products they use.

Launching June 2021

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Page 38: FFS Facilitator Recertification/Refresher Training American

• Does not replace the N-O-T group program

• Web-based app (no download necessary)

• Voluntary, self-guided program to help guide

teens who want to break their nicotine

dependence and stop using all tobacco products

• Based on content from the N-O-T group program,

NOT for Me is offered in 8 sessions, completed

within 4-6 weeks

• In addition to helping them quit, the program

supports healthy life skills including nutrition,

fitness, stress management and effective

communication

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Page 39: FFS Facilitator Recertification/Refresher Training American

Polling Question

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What other priority and emerging issue training opportunities would you be interested in?

a) Conducting brief interventions among school-aged youth

b) Cessation strategies to address disparities and further health equity

c) Cessation strategies specific to supporting e-cigarette users in quitting

d) Addressing cannabis use among FFS participants

e) Integration of referral for lung cancer screening

f) Other (please select then type the topic in the chat box)

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Page 40: FFS Facilitator Recertification/Refresher Training American

American Lung Association Initiatives

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Page 41: FFS Facilitator Recertification/Refresher Training American

Lung.org/CessationTA

• Resource Library

• Presentations and Podcasts

• Toolkits

• Listserv

• Direct Technical Assistance

[email protected]

Lung Association Technical Assistance

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For Tobacco Cessation Coverage and Health Systems Change

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Page 42: FFS Facilitator Recertification/Refresher Training American

Email: [email protected]

Resource Library: Lung.org/CessationTA

Listserv: [email protected]

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Lung Association Technical Assistance

For Tobacco Cessation Coverage and Health Systems Change

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Page 43: FFS Facilitator Recertification/Refresher Training American

Lung.org/CessationTA/Roadmap

Public Health Roadmap to Coaching the Clinical Team

Public Health Roadmap to Coaching a

Clinical Team to use the Million Hearts®

Tobacco Cessation Change Package is

available at Lung.org/CessationTA/Roadmap.

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Lung.org/CessationTA/BHRoadmap

Public Health Roadmap: Tobacco Use

Disorder (TUD) Treatment Integration in

Behavioral Health Settings is available at

Lung.org/CessationTA/BHRoadmap.

Public Health Roadmap: Tobacco Use Disorder

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Page 45: FFS Facilitator Recertification/Refresher Training American

Facilitator Agreements and Expectations

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Page 46: FFS Facilitator Recertification/Refresher Training American

Facilitator Agreement Form

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Page 47: FFS Facilitator Recertification/Refresher Training American

Expectations

• Remain free of all tobacco products including ENDS

• Provide a safe and tobacco-free meeting environment

• Adhere to guidelines for registration fees

• Follow the content and format of the program as intended

• Use only the copyrighted program material

• Promote using the Freedom From Smoking name and logo

• Submit clinic promotion and outcome reports

Facilitator Agreement Form

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Page 48: FFS Facilitator Recertification/Refresher Training American

1. FFS Virtual Training Addendum Agreement

2. Digital Materials Addendum Agreement

• Provides additional guidance on expectations of FFS Facilitators receiving electronic files of the Lung Associations copyrighted program curriculum as a component in supporting virtual clinic implementation, in response to physical distancing protocols.

Email your signed and completed Agreement and Addendums to [email protected].

Facilitator Addendums

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Virtual Training and Digital Material Addendum

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Page 49: FFS Facilitator Recertification/Refresher Training American

Recertification Process

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View and participate in the Recertification Webcast

Complete the Post-Training Evaluation

Receive your 3-year Facilitator Certificate of Completion

Sign and send in the Acknowledgement of Agreements Form to [email protected] after reading through the Facilitator Agreement Form, Virtual Training Addendum Agreement Form and the Digital Material Addendum Agreement Form.Am

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Page 50: FFS Facilitator Recertification/Refresher Training American

You make a difference!

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Page 51: FFS Facilitator Recertification/Refresher Training American

Questions & Answers

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Page 52: FFS Facilitator Recertification/Refresher Training American

Post-Training Evaluation

https://bit.ly/FFS_RecertificationEvaluation

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Page 53: FFS Facilitator Recertification/Refresher Training American

Thank you!

Questions?

Email: [email protected]

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