How Has


Gun


Violence


Affected 


You?

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* 1. What is your email?  

This survey is the first part of a two part research project. There is no requirement to fill out the second survey and your email will be kept confidential.

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* 2. What state do you reside in?

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* 3. Which best represents your gender identity? (Check all that apply)

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* 4. Which best represents your racial identity? (Check all that apply)

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* 5. What age group do you fall within?

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* 6. Do you identify as a Gun Violence Prevention (GVP) activist?

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* 7. What group do you identify MOST?



Experiences

with

Suicide
The following questions will ask about your experiences with suicidal thoughts.

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* 8. Have you ever experienced suicidal thoughts?

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* 9. Do you know anyone who has ever experienced suicidal thoughts?

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* 10. If applicable, in what age range did you experience these thoughts? (check all that apply)

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* 11. Did you tell anyone about your suicidal thoughts?(check all that apply)

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* 12. If comfortable for you and if applicable, please explain why you did not use any suicide prevention resources.



Questions

Regarding

Services

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* 13. If you used a hotline or online chat how was your experience?

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* 14. Please describe the impact and/or outcome if you are comfortable and if applicable.

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* 15. Please describe the experience if you are comfortable and if applicable:

  Very Dissatisfied Dissatisfied Neutral Satisfied Very Satisfied
Overall satisfaction with the service
Ease of access to the service
Assistance by staff members
Length of time it took between requesting and receiving service

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* 16. If comfortable responding, and if applicable, how many times have you used any of these services in the past?

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* 17. If applicable, how did you find out about any of these services?

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* 18. If comfortable answering, do you know someone who has used a hotline or chatline?

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* 19. How likely is it that you would recommend this service to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY

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* 20. If you have any additional comments, questions, concerns or suggestions, please explain here:



Resources:

Suicide Safety Plan

National Suicide Prevention Lifeline (800) 273-8255

Suicide Prevention App MY3 available in the Apple App Store and Google Play
Disclaimer: We want to assure you that your responses are anonymous and will not be traced back to the respondent. No personally identifiable information except for your email that will be used for the follow up survey is captured unless you voluntarily offer personal or contact information in any of the comment fields. Additionally, your responses are combined with those of many others and summarized in a report to further protect your anonymity.



Please contact skye@marchforourlives.com if you have any thoughts, questions or concerns.

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