Successful Aging

Mental Health Across the Lifespan Initiative - A DST and NIMH collaborative
Thank you for taking time to complete this survey for Delta Sigma Theta. We are interested in understanding your thoughts and opinions about the workshop attended today. This survey should take approximately 10 minutes to complete.

This assessment is designed to collect your feedback about the following modules: Postpartum Depression, Depression in College Students, and/or Bullying and Successful Aging. In addition, demographic information is being collected to help us identify who participated in the modules sessions, and to help plan future programs.

You will be asked to decide how much you agree or disagree with each statement. For example, if you believe that the statement is correct, select agree; if you believe it’s incorrect, select disagree. If you really agree with the statement, select strongly agree; if you really disagree, select strongly disagree. If you don’t know how you feel about the statement, select don’t know. Please do not skip any questions. If you have any questions, please feel free to ask your presenter. Please complete the sections based on the program attended.

* 1. What is your gender?

* 2. How old are you?

* 3. What is your current marital status?

* 4. Please indicate the highest level of education completed.

* 5. What is your primary language (i.e.., the one you speak most of the time)?

* 6. Are you employed: (select only one)

* 7. What state do you live in?

* 8. Overall, how would you rate the quality of the learning modules you participated in?

* 9. Of the session you attended how satisfied are you with the materials and resources provided?

* 10. I will share this information with a friend or family member.

* 11. Do you feel the module provided you with information and skills that you can effectively support and or address this topic in your community?

* 12. I learned something new about Successful Aging across the lifespan today.

* 13. I am aware of keys for successful aging across the lifespan.

* 14. What suggestions do you have to help improve the module?