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Arlington County (VA) - Community Suicide Prevention Survey
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1.
Do you feel there are enough suicide prevention resources and services in Arlington?
(Required.)
Yes
No
Unsure
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2.
Select the suicide prevention activities you believe are most needed:
(Required.)
Suicide intervention/helper skills training
General mental health education
Suicide prevention awareness events (e.g. Walk-A-Thons or Resource Fairs)
Workshops and trainings on depression and stress
Media campaigns (e.g. newspaper and TV ads)
Easily accessible resources and information (e.g. pamphlets and handouts)
No additional activities needed
Other (please specify)
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3.
What is the maximum amount of hours you would dedicate to a single suicide prevention training?
(Required.)
1
2
3
4
5
6
7
8
12
16
I don't have the time to attend a suicide prevention training.
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4.
What time of day are you best available to participate in a suicide prevention training/workshop/event?
(Required.)
Weekday Mornings (8am-11am)
Weekday Afternoons (12pm-4pm)
Weekday Evenings (5pm-9pm)
Saturdays (8am-5pm)
Sundays (8am-5pm)
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5.
What specific populations do you think suicide prevention activities should be focused on?
(Required.)
Very Important
Somewhat Important
Average Importance
Somewhat Not Important
Not important
Veterans
Very Important
Somewhat Important
Average Importance
Somewhat Not Important
Not important
Lesbian, Gay, Bi-Sexual, Transgender, or Questioning
Very Important
Somewhat Important
Average Importance
Somewhat Not Important
Not important
Middle and High School Students
Very Important
Somewhat Important
Average Importance
Somewhat Not Important
Not important
Older Adults and/or Individuals with Disabilities
Very Important
Somewhat Important
Average Importance
Somewhat Not Important
Not important
Immigrants
Very Important
Somewhat Important
Average Importance
Somewhat Not Important
Not important
Professionals in the helping field (Doctors, Nurses, Social Workers, Etc)
Very Important
Somewhat Important
Average Importance
Somewhat Not Important
Not important
List other populations not specified that you feel are important:
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6.
What do you think are the biggest issues facing suicide prevention?
(Required.)
Stigma (e.g. Fear of talking about or acknowledging suicide)
Lack of supportive resources
Lack of suicide prevention trainings
Trouble accessing treatment or services
I'm not interested in this topic
Unaware of trainings and events in my area
I don't think there are any issues
Other (please specify)
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7.
Do you live, work, or participate in recreation in Arlington (VA)?
(Required.)
Yes
No
8.
What is your age? (optional)
11 or below
12-17
18-24
25-44
45-64
65+
9.
What is your gender? (optional)
Male
Female
Other (please specify)
10.
What is your racial identity? (optional)
Black or African-American
White
Hispanic
Asian
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Multi-Racial
11.
Please provide your
email
or
phone number
If you are interested in hearing more about future Arlington County suicide prevention plans and outreach (optional):
12.
Comments or suggestions (optional):