* 1. Which NYS Senator's office did you contact?

* 2. How did you contact them?

* 3. Which NYS Assembly office did you contact?

* 4. How did you contact them?

* 5. Was there a specific staff person that you communicated with?

* 6. Did you share your personal story?

* 7. Are they supportive of suicide prevention?

* 8. Did you discuss any specific suicide prevention issues?

* 9. Are there any issues that we should follow up on?

* 10. This survey is anonymous. However, if you would like to have your name entered for a chance to win an overnight stay at The Great Escape Lodge and Indoor Water Park (a $199 value), please provide the following information:

Thank you for your feedback and thank you for participating in this Capital Region AFSP Home District Week initiative!