Participant Questionnaire

Thank you for taking the time to help us improve our program. This survey is anonymous and voluntary. Please select the answer which best represents how you feel about your experiences in this program.

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* 1. As a direct result of this training I am MORE willing to:

  Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree
...live next door to someone with a serious mental illness.
...socialize with someone who had a serious mental illness.
...start working closely on a job with someone who had a serious mental illness.
...take action to prevent discrimination against people with mental illness.
...actively and compassionately listen to someone in distress.
...seek support from a mental health professional if I thought I needed it.
...talk to a friend or a family member if I was experiencing emotional distress.

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* 2. As a direct result of this training I am MORE likely to believe:

  Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree
...people with mental illness are different compared to everyone else in the general population.
...people with mental illness are to blame for their problems.
...people with mental illness can eventually recover.
...people with mental illness are never going to be able to contribute much to society.
...people with mental illness should be felt sorry for or pitied.
...people with mental illness are dangerous to others.

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* 3. Please tell us how much you agree with the following statements:

  Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree
The presenters demonstrated knowledge of the subject matter.
The presenters were respectful of my culture (i.e., race, ethnicity, gender, religion, etc.).
This training was relevant to me and other people of similar cultural backgrounds and experiences (race, ethnicity, gender, religion, etc.).

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* 4. Please provide the following information about the program:

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* 5. Please select the type of program

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* 6. If other or local/custom program, please enter the training name

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