Cup of Joe on the Go

Hello, we are reaching out on behalf of your local Suicide Prevention Coalition. We are conducting a very short survey in Jefferson, Lewis, and St. Lawrence counties about suicide prevention resources and hope that you will participate.

The survey should only take about 5 minutes and upon successful completion of the survey, you can register for a $5.00 gift card to a local coffee shop. Please note the following:
     • This incentive is limited to the first 200 participants from each county.
     • We will need your contact information so that we can provide the incentive to you by mail.
     • Your responses will remain completely anonymous by collecting information on a separate form.

We recognize that the topic of this survey is sensitive. In addition to keeping your responses confidential, there is the contact information for each county coalition listed below.

Who are we?
Local county suicide prevention coalitions in Jefferson, Lewis, and St. Lawrence Counties.
 Jefferson County:  Lewis County:  St. Lawrence County:
 Alicia Ruperd  Anna Platz  Kelsey Jones
 (315) 786-7466  (315) 376-5453  (315) 854-3691

Why are we doing this survey? We have received a grant to work on suicide prevention initiatives in the region. Our hope is to improve awareness of suicide prevention resources. We will repeat this survey again at the end of the grant to track the impact of our work.

We will use this data to: 
     •  Inform our efforts in suicide prevention by identifying the needs of the community.
     •  Understand the awareness and use of suicide prevention resources in the three-county region.
     •  Monitor the impact of regional suicide prevention initiatives.

The information you provide will be kept strictly confidential. Your help is voluntary but important and will help us to make lasting changes to support our community. Clicking below, you verify that you live in Jefferson, Lewis, or St. Lawrence Counties, and are at least 18 years of age.