Dispatcher Survey

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* 1. What is your gender?

1) Female

2) Male

3) Prefer Not to Say

4) Prefer to Self Describe

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* 2. What is your age?

1) Under 18

2) 18-24

3) 25-34

4) 35-44

5) 45-54

6) 55-64

7) 65+

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* 3. Please indicate your years of service.

1) less than 1 year

2) 1-3 years

3) 3-5 years

4) 5-10 years

5) 10-15 years

6) 15-20 years

7) 20-25 years

8) 25-30 years

9) 30 years or more

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* 4. Which option best describes the staffing model of your primary organization?

1) Career

2) Part Time

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* 5. Which option best describes your primary dispatching responsibility? (check all that apply)

1) Law Enforcement

2) Fire / EMS

3) EMS only

4) Fire Only

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* 6. Please provide the total staffing of your primary organization. (LE, Fire/EMS & Communications)

1) 1 to 29

2) 30 to 59

3) 60 to 99

4) 100 to 199

5) 200 or More

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* 7. Please provide the jurisdiction of your primary agency.

1) Local

2) County

3) State

4) Federal

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* 8. Please rate your level of agreement with the following statement: I have an awareness and basic knowledge of behavioral health or emotional issues that can affect communications personnel.

1) Strongly disagree

2) Disagree

3) Neither agree nor disagree

4) Agree

5) Strongly agree

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* 9. Please rate your level of concern with communications personnel behavioral health or emotional issues.

1) Not at all concerned

2) Slightly concerned

3) Somewhat concerned

4) Moderately concerned

5) Extremely concerned

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* 10. Please rate your level of confidence with the following statement: My immediate supervisor or manager knows about behavioral health resources and how to access the resources I need.

1) Not confident

2) Somewhat unconfident

3) Neither confident nor unconfident

4) Somewhat confident

5) Confident

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* 11. Please rate your level of confidence with the following statement: I know about behavioral health resources and how to access resources when needed.

1) Strongly disagree

2) Disagree

3) Neither disagree not agree

4) Agree

5) Strongly agree

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* 12. Please rate your level of agreement that you have had behavioral health or emotional issues related to on-the-job experiences, anxiety, or suicidality ideation.

1) Strongly disagree

2) Disagree

3) Neither disagree not agree

4) Agree

5) Strongly agree

6) None / I have not experienced any symptoms or emotional issues

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* 13. Personally speaking, please list all signs/symptoms you have experienced that could be associated with behavioral health or emotional issues common among communications personnel. (mark all that apply)

1) Sleep disturbances

2) Depression

3) Unexplained anger

4) Substance abuse

5) Domestic Violence

6) Social withdrawal

7) Loneliness

8) High Risk Behavior

9) Other

Please specify

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* 14. Please provide an answer to the following statement: I personally know a coworker who has attempted suicide.

1) No

2) Yes

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* 15. Please provide an answer to the following statement: I personally know a coworker who has completed suicide.

1) No

2) Yes

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* 16. Have you or anyone on your shift / team / detail ever been through a Critical Incident Stress Management (CISM) debriefing?

1) No

2) Yes

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* 17. If yes, please rate your level of satisfaction with the debriefing.

1) Very dissatisfied

2) Dissatisfied

3) Neither dissatisfied nor satisfied

4) Satisfied

5) Very satisfied

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* 18. If applicable, are you comfortable using your employer’s Employee Assistance Program (EAP) or other peer support program?

1) No

2) Yes

3) Not Applicable

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* 19. Which resources relating to first responders/communications personnel behavioral health have you heard of? (check all that apply)

1) ASSIST / PCIS

2) The Bridge

3) Critical Incident Response Service (CIRS)

4) Local Addiction & Mental Health Boards

5) Local Critical Incident Stress Management (CISM) teams

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* 20. If applicable, are behavioral and emotional resources available for part-time communications personnel for your agency?

1) No

2) Yes

3) Unknown

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* 21. Are behavioral and emotional health resources available for family members?

1) No

2) Yes

3) Unknown

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* 22. If applicable, have you or your family ever utilized the behavioral or emotional health resources offered by your agency?

1) No

2) Yes

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* 23. Which County/Counties do you serve with your primary agency?

	County 1	County 2
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