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* 1. I attended the following screening of Connecting The Dots

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* 2. Please enter your name (*Optional. You can respond to this survey anonymously.)

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* 3. I attended the event in my capacity as (choose one that applies the most):

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* 4. Age: 

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* 5. After the screening of Connecting the Dots my awareness and understanding of youth mental health issues was:

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* 6. The scene/theme I appreciated the most in the film was:

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* 7. The one thing that impacted me the most in the film was:

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* 8. This screening event improved my personal overall wellbeing:

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* 9. What did you think of the post screening discussion and activities?

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* 10. What did you learn from the post screening discussion and activities? Can you elaborate?

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* 11. The screening event has inspired me to become an advocate for youth mental health or play a new role in supporting and improving youth mental health in my community?

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* 12. If you could implement one specific change in the way youth mental health is addressed in your community what would that be?

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* 13. Would you recommend the film to someone you know?

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* 14. Any other comments about the film or the event you would like to share with us?

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* 15. Can we share your written responses?

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