Peer Team Survey

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* 1. What is your name, email, and phone number?

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* 2. What is your professional/career background?

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* 3. Do you have a current CISM/GRIN certificate?

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* 4. Why are you interested in joining the Peer Support Team?

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* 5. How do you perceive yourself? How do you believe others perceive you?

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* 6. Why do you feel your peers will trust you in this position?

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* 7. Will you be able to respond any time on a call back basis?

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* 8. What does confidentiality mean to you? Do you feel it is critical to CISM success? Why?

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* 9. Do you feel comfortable working with a mental health professional? Do you feel that having a mental health professional involved in a debriefing is a good idea? Why or why not?

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* 10. Could you share with us a situation in which you have supported a peer in the past, without disclosing any identifying information?