Maroon Mental Health Matters Registration: Staff/Faculty Training
Registration for each training closes two weeks prior to the date of the training.
*
1.
First Name.
(Required.)
*
2.
Last Name.
(Required.)
3.
Preferred Name.
*
4.
UChicago Email Address.
(Required.)
*
5.
What is your University affiliation?
(Required.)
Staff Member
Faculty Member
Other (please specify)
6.
In which division or department do you work?
*
7.
Date of Training:
(Required.)
Tuesday, March 11, 2025, 9:00am - 12:30pm -
OPEN TRAINING
Tuesday, May 6, 2025, 1:00pm - 4:30pm -
OPEN TRAINING
8.
Please share any accommodations that you may need to help facilitate your full participation in this program (for example: visual, auditory, physical accessibility, scheduling, etc.)
*
9.
How did you hear about this program?
(Required.)
Email/Newsletter
UChicago Student Wellness Website
Word of Mouth
UChicago Student Wellness Referral
Faculty or Staff Referral
Social Media (Facebook or Instagram)
Other (please specify)
10.
How familiar are you with the services provided by UChicago Student Wellness?
Very familiar
Somewhat familiar
Not so familiar
Not at all familiar
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11.
Please answer the following to indicate how much you agree or disagree with the statement:
(Required.)
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I can describe the purpose of the Maroon Mental Health Matters program.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I understand the risk factors associated with mental health.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I understand the protective factors associated with mental health.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I can recognize the warning signs of mental health distress.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I am competent in taking action to help someone who is experiencing mental health distress.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I feel confident having a supportive conversation with someone about their mental health.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I am able to listen without judgment to someone I suspect is experiencing mental health distress.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I feel confident in referring someone showing signs of mental health distress to professional mental health resources (e.g., self-help information, UChicago resources, national resources, etc.)
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I feel confident asking someone directly whether they are considering killing themselves.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I am able to assist someone who is in crisis.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I can make changes (even small ones) that can positively impact the culture and help create a community of care at UChicago.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
*
12.
Please rate your likelihood of doing the following actions if/when necessary:
(Required.)
Very Likely of doing this action
Likely of doing this action
Neutral
Unlikely of doing this action
No chance of doing this action
Have a supportive conversation with someone experiencing signs of mental health distress.
Very Likely of doing this action
Likely of doing this action
Neutral
Unlikely of doing this action
No chance of doing this action
Express concern to someone experiencing mental health distress or crisis.
Very Likely of doing this action
Likely of doing this action
Neutral
Unlikely of doing this action
No chance of doing this action
Listen to and validate someone experiencing mental health distress or crisis.
Very Likely of doing this action
Likely of doing this action
Neutral
Unlikely of doing this action
No chance of doing this action
Explore options with someone experiencing mental health distress or crisis.
Very Likely of doing this action
Likely of doing this action
Neutral
Unlikely of doing this action
No chance of doing this action
Refer someone experiencing mental health distress or crisis to mental health services.
Very Likely of doing this action
Likely of doing this action
Neutral
Unlikely of doing this action
No chance of doing this action
Follow up with someone experiencing mental health distress or crisis.
Very Likely of doing this action
Likely of doing this action
Neutral
Unlikely of doing this action
No chance of doing this action
Ask someone directly if they are thinking of killing themselves.
Very Likely of doing this action
Likely of doing this action
Neutral
Unlikely of doing this action
No chance of doing this action
Refer someone to Student Wellness services.
Very Likely of doing this action
Likely of doing this action
Neutral
Unlikely of doing this action
No chance of doing this action
Actively make personal changes to positively impact the culture and help create a community of care at UChicago.
Very Likely of doing this action
Likely of doing this action
Neutral
Unlikely of doing this action
No chance of doing this action
100%