Welcome healthcare professionals!

We’d like to offer you a free learning module called “A Wish to Die: Depression, MAID and the Older Adult”. This module will introduce you to an approach to an older adult who says they’d like to die, 

Like other Geriatric Mental Health (GeMH) courses that follow a blended learning approach of online learning modules with live webinars, this online module will also be followed with a free webinar to consolidate learning.  

In this survey we will collect some demographic data and your responses to a few pre-knowledge/attitude questions.
The online module will be available from mid-February with the live webinar on February 28th.

 By continuing with this survey you are giving us consent and permission to collect and include your data about this education process. All information obtained in this survey will be held in strict confidence in a protected institutionalized server and only accessed by the project investigators and assistant. Furthermore, all names or identifying information will be de-identified for confidentiality.

After completing the online module and participating in the live webinar you will receive another survey with post-knowledge/attitude questions. Approximately 6 weeks after the webinar we will send you another short survey asking about impact on practice.

Thanks for participating!

* 1. Last Name

* 2. First Name

* 3. Email Address

* 4. Job Title

* 5. I am a...

* 6. Are you comfortable working with older adults who express a wish to die?

* 7. What is your comfort level?

* 8. Are you comfortable assessing for suicide risk in older adults? 

* 9. What is your comfort level? 

* 10. I have an approach to working with older adults who express a wish to die:

* 11. I think there is a difference between MAID and older adults who express a wish to die.

* 12. I am confident in how the MAID process works.

* 13. Did you participate in the first GeMH "Depression at End of Life" elearning module and webinar in October 2015?

* 14. I use tools (e.g., rating scales) when working with older adults who have depression.

* 15. If you use tools for depression how comfortable are you with them? A score of 1 = very uncomfortable and 5 = very comfortable.

* 16. Are you comfortable responding to a request from an older adult who wants assistance with dying?

* 17. What is your comfort level? 

* 18. What specific questions do you have on the topic of depression in older adults?

* 19. What specific questions do you have about anxiety in older adults?

* 20. What questions do you have about suicide in older adults?

* 21. What specific questions do you have about Medical Assistance in Dying (MAID)?

* 22. Would you or your organization be interested in modules on any other specific topic in geriatric mental health?