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Personal Information
Thank you for helping ensure our system is set up to meet peers where they are. The New York Peer Specialist Certification Board (NYPSCB) oversees training and professional development for the NYCPS workforce and strives to ensure that our system is people-first and person-centered. We collect the following personal information to better understand the diversity of our workforce and to provide tailored resources and support. Your privacy is important to us. All responses are confidential and will be used solely for program evaluation. Please note that your responses are saved on our servers in real-time. This is also an opportunity for you to update your contact information and profile. To show our appreciation, 50 participants who complete the survey will be randomly selected to receive a gift card valued between $20 and $50.
Are you a New York Certified Peer Specialist?
(Required)
Yes
No
I don't know
First Name
(Required)
Middle Initial
Last Name
(Required)
Address
(Required)
Address Line 1
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Email
(Required)
Enter Email
Confirm Email
We recommend using your personal email address for certification board correspondence to ensure continued access to important updates and information, even if you change jobs or no longer have access to your work email. Additionally, please make sure that your email is configured to receive messages from the NYPSCB domain to avoid missing important communications.
Phone
(Required)
Preferred Method of Contact
Email
Phone
Text
VRI
Best Time to Call You
Select A Time
12:00 am
12:30 am
1:00 am
1:30 am
2:00 am
2:30 am
3:00 am
3:30 am
4:00 am
4:30 am
5:00 am
5:30 am
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
6:30 pm
7:00 pm
7:30 pm
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
Gender and Identity
The New York Peer Specialist Certification Board (NYPSCB) collects information on gender, gender identity, sex assigned at birth, and sexual orientation to ensure our workforce is inclusive and representative of the diverse communities we serve. This data helps us create supportive environments, tailor training programs, advocate for equitable resources, and address barriers faced by individuals of diverse identities. By understanding and celebrating this diversity, we can better support our community and foster an equitable, safe, and welcoming environment for all. We understand that this list may not fully capture everyone's unique background. If you would like, please use the "Other" box to self-identify. We collect this information to understand the diversity of our peer specialist workforce, identify and address gaps in representation, and enhance the inclusivity and effectiveness of our services. Your response is kept confidential and is used solely for program evaluation.
What was your sex assigned at birth, as listed on your original birth certificate?
Female
Male
Unknown
Prefer not to answer
What is your current gender identity?
Female
Male
Transgender
Nonbinary
Two-Spirit
Genderqueer
I use a different term (use "other" choice)
Questioning
Prefer not to answer
Other
Which of the following best describes your sexual orientation?
Asexual
Bisexual
Gay
Lesbian
Pansexual
Queer
Straight/Heterosexual
Prefer to self-describe (please specify):
Prefer not to answer
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
Choose not to answer
Race
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Pacific Islander
White
Other
Military Service
The New York Peer Specialist Certification Board (NYPSCB) collects information about military service, including branch of service and veteran status, to better understand and support veterans within the peer support workforce. Veterans bring unique skills, perspectives, and strengths that can enhance peer support, particularly when working with individuals who share similar backgrounds. This data helps us provide targeted resources, training, and advocacy for support specific to veterans' needs. By understanding the diverse military experiences of our certified peer specialists, we can create a more inclusive and supportive environment, tailor programs to address gaps, and maximize the value of their contributions. All responses are confidential and will be used solely to improve our services and advocacy efforts for veterans in the community.
Have you ever served in the U.S. Armed Forces (including the Reserves or National Guard)?
Yes
No
Prefer not to answer
If yes, which branch(es) of the US Armed Forces did you serve in?
U.S. Army
U.S. Navy
U.S. Air Force
U.S. Marine Corps
U.S. Coast Guard
U.S. Space Force
National Guard
Reserve Forces
Other
Prefer not to answer
Disability Status
Collecting information about disability status is crucial for the New York Peer Specialist Certification Board (NYPSCB) to advocate for environments that are truly inclusive and supportive of all peer specialists. Understanding the prevalence and types of disabilities within the workforce allows NYPSCB to design and implement measures that meet diverse needs effectively.
Do you have a disability?
Yes
No
Prefer not to answer
If yes, what kind of disability?
Neurodiverse
Autistic
Physical (e.g., mobility, chronic pain, dexterity)
Mental Health (e.g., anxiety, depression, PTSD, schizophrenia, bipolar, ADHD)
Intellectual/Developmental (e.g., Down syndrome, learning disabilities)
Sensory (e.g., Blind, DeafBlind, Deaf, Low Vision, Hard of Hearing)
Prefer not to answer
Language and Communication Skills
The New York Peer Specialist Certification Board (NYPSCB) collects information about language and communication skills to ensure our workforce effectively meets the needs of diverse communities. This data provides insight into the primary and additional languages spoken by peer specialists, enabling us to identify multilingual professionals who can deliver culturally and linguistically appropriate support. By understanding the language capabilities of the workforce, we can target training, address gaps in multilingual service provision, and deploy peer specialists to areas where specific language skills are in high demand. This effort enhances accessibility, improves service quality, and ensures equity and inclusivity for individuals with limited English proficiency, ultimately supporting more effective engagement with diverse communities.
Primary Language Spoken at Home
Afrikaans
Albanian
Amharic
Arabic
Armenian
Assamese
Azerbaijani
Bengali
Bosnian
Bulgarian
Burmese
Cantonese
Catalan
Cebuano
Chichewa
Chinese (Simplified)
Chinese (Traditional)
Croatian
Czech
Danish
Dari
Dutch
English
Estonian
Farsi
Filipino
Finnish
French
Georgian
German
Greek
Gujarati
Haitian Creole
Hausa
Hebrew
Hindi
Hungarian
Igbo
Ilocano
Indonesian
Italian
Japanese
Javanese
Kannada
Kazakh
Khmer
Korean
Kurdish
Lao
Latvian
Lithuanian
Malay
Malayalam
Maltese
Mandarin
Marathi
Mongolian
Nepali
Norwegian
Pashto
Persian
Polish
Portuguese
Punjabi
Romanian
Russian
Serbian
Sindhi
Sinhala
Slovak
Slovenian
Somali
Spanish
Swahili
Swedish
Tagalog
Tamil
Telugu
Thai
Tigrinya
Turkish
Ukrainian
Urdu
Uzbek
Vietnamese
Welsh
Xhosa
Yoruba
Zulu
Prefer not to answer
If you needed a sign language interpreter, what language would you need interpreted?
I do not need an interpreter.
American Sign Language (ASL)
British Sign Language (BSL)
Australian Sign Language (Auslan)
French Sign Language (LSF)
Spanish Sign Language (LSE)
International Sign (IS)
Chinese Sign Language (CSL)
Japanese Sign Language (JSL)
Korean Sign Language (KSL)
Russian Sign Language (RSL)
Indian Sign Language (ISL)
Mexican Sign Language (LSM)
Brazilian Sign Language (Libras)
Arabic Sign Language (ArSL)
German Sign Language (DGS)
Italian Sign Language (LIS)
Dutch Sign Language (NGT)
Swedish Sign Language (SSL)
Finnish Sign Language (FSS)
South African Sign Language (SASL)
Quebec Sign Language (LSQ)
Irish Sign Language (ISL)
Turkish Sign Language (TİD)
Vietnamese Sign Language (VSL)
Prefer not to answer
Other (please specify)
Workforce Information
The New York Peer Specialist Certification Board (NYPSCB) collects workforce information to gain insights into employment trends, understand the composition of the certified peer specialist community, and identify gaps and opportunities for growth. By gathering data about your current employer, employment type, and role, as well as how services are delivered (e.g., remotely or in-person), we can better support career development, provide targeted resources, and advocate for the needs of our workforce. This information will remain confidential and be used solely for program evaluation to enhance the effectiveness and reach of peer support services.
Current Employer/Name of Organization
Name of Program or Department
Employer Address
Employer Address Line 1
Employer Address Line 2
Employer City
Employer State
Employer Zip
Employer Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Employment Start Date of Current Position
MM slash DD slash YYYY
Employment Status
Full Time
Part Time
Per diem/As needed
Internship
Volunteer
Self Employed
Other
What is the most important task you perform in your current role?
What is the second most important task you perform in your current role?
What is the third most important task you perform in your current role?
Is your position
Remote
Hybrid
In-person
Other
Are you interested in providing peer services as an independent contractor?
Yes
No
Prefer not to answer
Employment Factors
The New York Peer Specialist Certification Board (NYPSCB) collects information on job satisfaction to understand how well the needs of certified peer specialists are being met in their current roles. This data helps identify areas of strength as well as challenges affecting engagement, performance, and retention. By understanding job satisfaction levels, we can implement targeted improvements, provide appropriate support, and create a more positive work environment that enhances overall effectiveness and well-being for our workforce.
Have you had opportunities for career advancement in your current position?
Yes
No
Unsure
Have you been promoted since starting this role?
Yes
No
Prefer not to answer
Other
Are you currently serving in multiple roles within your organization?
Yes
No
If you had the opportunity to receive additional on the job training, would you take it?
Yes
No
If you are serving in multiple roles, please describe your additional roles.
If you could transfer to another position (and not be a peer), would you?
Yes
No
How would you describe your satisfaction with the pay and benefits you receive for your role as a peer specialist?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
What are the biggest challenges you face in your current role as a Certified Peer Specialist?
Inadequate compensation
Burnout and/or work-related stress
Limited opportunities for professional growth
Lack of supervision/support
High caseload
Lack of recognition
Difficulty navigating the system
Other
Do you feel that you receive adequate supervision and support from your supervisor?
Yes
No
Sometimes
Not applicable
Other
How would you describe your work-life balance?
Very Poor
Poor
Neutral
Good
Excellent
How satisfied are you with your current job as a Certified Peer Specialist?
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Have you received any specialized training for your role as a peer specialist?
Trauma Informed Care
Crisis Intervention
Motivational Interviewing
Substance Use Recovery Support
Cultural Competency
I have not received any specialized support
Educational Background
The New York Peer Specialist Certification Board (NYPSCB) collects information about the educational background of peer specialists to tailor career development and training opportunities based on the existing qualifications of the workforce. This information also helps assess whether the workforce reflects diverse educational backgrounds, informing outreach efforts to recruit individuals from underrepresented educational levels and ensuring inclusive growth within the peer specialist community.
Highest Level of Education Completed
Did not complete High School
High school
GED/TASC
Associate's
Bachelor's
Master's
Doctorate
Other
Select certifications that you currently hold.
National Certified Peer Specialist (NCPS)
Certified Recovery Peer Advocate (CRPA)
Youth Peer Advocate (NYS)
Family Peer Advocate (NYS)
NYS Certified Peer Worker in Pre-Exposure Prophylaxis (PrEP)
Independent Living Center Peer Advocate
Open Doors Peer Advocate
Community Health Worker
NYCPS-P
NYCPS
CRPA-P
CRPA
PSP (Peer Supervision Professional)
Other Technical/Professional Certification
Other
Select All
Select any licensures that you hold.
MD (Medical Doctor)
DO (Doctor of Osteopathic Medicine)
RN (Registered Nurse)
LPN (Licensed Practical Nurse)
NP (Nurse Practitioner)
PA (Physician Assistant)
PHARMD (Doctor of Pharmacy)
DDS (Doctor of Dental Surgery)
DMD (Doctor of Dental Medicine)
DVM (Doctor of Veterinary Medicine)
DC (Doctor of Chiropractic)
LCSW (Licensed Clinical Social Worker)
LSW (Licensed Social Worker)
LMHC (Licensed Mental Health Counselor)
LMFT (Licensed Marriage and Family Therapist)
PSYD (Doctor of Psychology)
PHD (Doctor of Philosophy in a relevant field)
JD (Juris Doctor - Attorney)
CPA (Certified Public Accountant)
OTR (Occupational Therapist, Registered)
COTA (Certified Occupational Therapy Assistant)
SLP (Speech-Language Pathologist)
RT (Respiratory Therapist)
BCBA (Board Certified Behavior Analyst)
BCABA (Board Certified Assistant Behavior Analyst)
PMHNP (Psychiatric Mental Health Nurse Practitioner)
CRNA (Certified Registered Nurse Anesthetist)
CNM (Certified Nurse Midwife)
RD (Registered Dietitian)
RDN (Registered Dietitian Nutritionist)
EMT (Emergency Medical Technician)
Paramedic
CAC (Certified Addiction Counselor)
CADC (Certified Alcohol and Drug Counselor)
CSAC (Certified Substance Abuse Counselor)
LADC (Licensed Alcohol and Drug Counselor)
LCADC (Licensed Clinical Alcohol and Drug Counselor)
CRT (Certified Respiratory Therapist)
RRT (Registered Respiratory Therapist)
CLS (Clinical Laboratory Scientist)
CLT (Clinical Laboratory Technician)