QPR Pre-training Survey

Please provide the following information BEFORE the QPR Gatekeeper Training. The instructors will use the anonymous information you provide to assess the effectiveness of the QPR training. Thank you for participating!

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* 1. What is your age category? This question is for grant reporting only.

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* 2. What is your gender?

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* 3. Ethnicity

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* 4. Highest grade completed?

Please rate your knowledge of suicide in the following areas in questions 5 through 11:

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* 5. My knowledge of facts concerning suicide prevention is

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* 6. My knowledge of warning signs of suicide is

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* 7. My knowledge of how to ask someone about suicide is

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* 8. My knowledge of persuading someone to get help is

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* 9. My knowledge for how to get help for someone is

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* 10. Information about local resources for help with suicide.

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* 11. My understanding of suicide and suicide prevention is

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* 12. Do you feel asking someone about suicide is appropriate? 

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* 13. Would you ask someone who appears to be at risk if they are thinking of suicide?

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* 14. Would you intervene if someone told you they were thinking of suicide?

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* 15. Do you feel confident in your ability to help a suicidal person?

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* 16. I don't think I can prevent someone from suicide.

Thank you for completing this survey. We look forward to meeting you at the QPR training. 
Terri Lavely, Ruth Marquette, and Janet Hussey Monette
QPR Certified Trainers from Northeast Kingdom Human Services, Inc.

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