Registration for each training closes two weeks prior to the date of the training. Trainings take place at the Student Wellness Center (840 E 59th Street) in the Multipurpose Room (unless otherwise denoted).

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* 1. First Name.

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* 2. Last Name.

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* 3. Preferred Name.

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* 4. UChicago Email Address.

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* 5. What is your University affiliation?

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* 6. In which division or department do you work?

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* 7. Date of Training:

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* 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.)

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* 9. How did you hear about this program?

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* 10. How familiar are you with the services provided by UChicago Student Wellness?

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* 11. Please answer the following to indicate how much you agree or disagree with the statement:

  Strongly Agree Agree Neutral Disagree Strongly Disagree
I can describe the purpose of the Maroon Mental Health Matters program.
I understand the risk factors associated with mental health.
I understand the protective factors associated with mental health.
I can recognize the warning signs of mental health distress.
I am competent in taking action to help someone who is experiencing mental health distress.
I feel confident having a supportive conversation with someone about their mental health.
I am able to listen without judgment to someone I suspect is experiencing mental health distress.
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.)
I feel confident asking someone directly whether they are considering killing themselves.
I am able to assist someone who is in crisis.
I can make changes (even small ones) that can positively impact the culture and help create a community of care at UChicago.

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* 12. Please rate your likelihood of doing the following actions if/when necessary:

  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.
Express concern to someone experiencing mental health distress or crisis.
Listen to and validate someone experiencing mental health distress or crisis.
Explore options with someone experiencing mental health distress or crisis.
Refer someone experiencing mental health distress or crisis to mental health services.
Follow up with someone experiencing mental health distress or crisis.
Ask someone directly if they are thinking of killing themselves.
Refer someone to Student Wellness services.
Actively make personal changes to positively impact the culture and help create a community of care at UChicago.
 
 100% of survey complete.

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