Reveille; One More Day Suicide Prevention and Crisis Intervention

Demographics

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* 1. What is your name and/or email (to provide more information about our Reveille;One More Day Program) (not required)

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* 2. What is your gender?

Female

Male

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* 3. What is your age?

18-25

26-30

31-40

41-50

51+

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* 4. What is your race or ethnicity?

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Multiracial or Multiethnic

Native American or Alaska Native

Native Hawaiian or other Pacific Islander

White

Another race or ethnicity

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* 5. What is your relationship status?

Single

Married

Divorced

Partner

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* 6. Do you have any dependents?

Spouse

Children

Parents

Family Member

More than one

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* 7. What is your highest level of education?

GED

High School

College

Vocational

Other

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* 8. Are you currently employed?

Yes

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* 9. What is your current Income?

None

Less than $20,000

$21,000-$30,000

$35,000-$40,000

$41,000+

Decline to answer

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* 10. Have you ever served in any branch of the United States military?

Army

Marine

Navy

Air Force

Coast Guard

Space Force

None of the above