Franklin County Suicide Prevention Training Interest Survey

The Healthy Franklin County Suicide Prevention Coalition is working to increase more awareness about suicide prevention strategies and resources in the community. The Mental Health Association of Franklin/Fulton County provides free suicide prevention training. If you are interested in providing suicide prevention training at your worksite, please fill out this survey by August 10. Learn more about suicide prevention resources in Franklin County and upcoming training opportunities here.

Question Title

* 1. Would you like to provide suicide prevention training at your worksite?

Yes

Maybe; I need more information

Question Title

* 2. I'm interested in providing the following training at my worksite (check all that apply):

Question, Persuade, Refer (QPR) - one hour training

Question, Persuade, Refer (QPR) - one hour on-line training

Question Title

* 3. I would consider making suicide prevention training a regular, mandated training at my worksite.

Yes

Not sure

Question Title

* 4. Please let us know how many employees you want to train:

1-10

11-20

21-30

31-50

51-70

71-90

91-100

100+

Other (please specify)

Question Title

* 5. If you would like to be contacted to organize a training, please provide the following information:

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number