This self-assessment is a companion to the Kansas Tobacco Guideline For Behavioral Health Care. The self-assessment identifies which Tobacco Guideline steps your program is or is not implementing at various levels of fidelity. Completing this assessment on an annual basis will help identify strengths and targets for quality improvement in your program, as well as provide measures of progress over time.

Please complete the following 12 items corresponding to the 12 items in the Tobacco Guideline. Please choose only one response for each item.

For assistance completing this assessment or implementing the Tobacco Guideline, please contact: KDADS.BHS@ks.gov.

If you "Submit" your assessment and are not redirected to a "Success" screen, you may have left required fields empty. Please scroll up and find entries highlighted in red, complete those, and re-submit.