OMB Control Number: 0925-0648         Expiration Date: 5/31/2021

Thank you for taking part in today’s event. Please take a few minutes to complete a brief assessment about the impact of this Brother, You’re on My Mind activity.

* 1. Date (please enter in MM/DD/YYYY format):

* 2. Location (city, state):

* 3. Omega chapter:

* 4. What is your age?

* 5. What is your sex?

* 6. What is your gender identity?

* 7. Are you Hispanic, Latino, or of Spanish origin?

* 8. What is your race? (check all that apply)

BEFORE today's event: 

* 9. I believed mental illness was often confused with effects of drug abuse.

* 10. I believed mental illness was caused by something biological.

* 11. I believed most people with depression could get better with treatment.

* 12. I believed men displayed signs of depression more often through anger and irritation.

* 13. If any of my relatives or friends had a mental illness, I would have told them not to tell anyone.

* 14. I believed only people who were weak or overly sensitive let mental illness affect them.

* 15. I would not have told anyone if I had depression.

* 16. I believed it was a good idea to avoid any discussion of mental illness.

AFTER today's event

* 17. I believe mental illness is often confused with effects of drug abuse.

* 18. I believe mental illness is caused by something biological.

* 19. I believe most people with depression can get better with treatment.

* 20. I believe men display signs of depression more often through anger and irritation.

* 21. If any of my relatives or friends had a mental illness, I would tell them not to tell anyone.

* 22. I believe only people who are weak or overly sensitive let mental illness affect them.

* 23. I would not tell anyone if I had depression.

* 24. I believe it is a good idea to avoid any discussion of mental illness.

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100% of survey complete.

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