Stop the Bleed Student Survey

Question Title

* 1. After participating in Stop the Bleed training, how likely are you to help an injured person?

Not at all likely

Not likely

Not sure

Somewhat likely

Very likely

Not at all likely

Not likely

Not sure

Somewhat likely

Very likely

Question Title

* 2. After participating in Stop the Bleed training, how likely are you to attempt bleeding control on a member of your family?

Not at all likely

Not likely

Not sure

Somewhat likely

Very likely

Not at all likely

Not likely

Not sure

Somewhat likely

Very likely

Question Title

* 3. After participating in Stop the Bleed training, how likely are you to attempt bleeding control on a stranger?

Not at all likely

Not likely

Not sure

Somewhat likely

Very likely

Not at all likely

Not likely

Not sure

Somewhat likely

Very likely

Question Title

* 4. How likely would you be to look favorably upon a family member who rendered aid to a bleeding stranger?

Not at all likely

Not likely

Not sure

Somewhat likely

Very likely

Not at all likely

Not likely

Not sure

Somewhat likely

Very likely

Question Title

* 5. After participating in Stop the Bleed training, how worried are you about causing further harm to the bleeding survivor?

Very worried

Somewhat worried

Not sure

Not worried

Not at all worried

Very worried

Somewhat worried

Not sure

Not worried

Not at all worried

Question Title

* 6. After participating in Stop the Bleed training, how worried are you about being held legally responsible for your treatment of the bleeding survivor?

Very worried

Somewhat worried

Not sure

Not worried

Not at all worried

Very worried

Somewhat worried

Not sure

Not worried

Not at all worried

Question Title

* 7. After participating in Stop the Bleed training, how comfortable do you feel intervening in the care of a bleeding survivor?

Not at all comfortable

Not comfortable

Not sure

Somewhat comfortable

Very comfortable

Not at all comfortable

Not comfortable

Not sure

Somewhat comfortable

Very comfortable

Question Title

* 8. After participating in Stop the Bleed training, how important do you feel it is to have bleeding control equipment available in public spaces?

Not at all important

Not important

Not sure

Somewhat important

Very important

Not at all important

Not important

Not sure

Somewhat important

Very important

Question Title

* 9. How likely would you be to render aid if you did not have a bleeding control kit available?

Not at all likely

Not likely

Not sure

Somewhat likely

Very likely

Not at all likely

Not likely

Not sure

Somewhat likely

Very likely

What alternative equipment would you use to control hemorrhage in the absence of a bleeding control kit?

Question Title

* 10. After participating in Stop the Bleed training, do you have any remaining concerns regarding rendering aid to a bleeding survivor? Select all that apply.

Safety/physical danger

Disease transmission

Sight of blood

Legal Responsibility/Consequences

Risk of causing further injury

Lack of training

None

Other (please specify)

Question Title

* 11. What is the sex of the individual taking this survey?

Male

Female

Question Title

* 12. What is the age of the individual taking this survey?

Less than 18 years

19-29 years

30-39 years

40-49 years

50-59 years

60-69 years

Greater than 69 years

Question Title

* 13. What is the first aid/medical experience of the individual taking this survey? (Select all that apply)

No previous medical training

Basic First Aid/CPR

Military medical training

Emergency medical services (EMS) training

Clinical/Hospital medical training (non-physician)

Clinical/Hospital medical training (physician)

Other (please specify)

Question Title

* 14. Profession of the individual taking the survey?

Farming/Manufacturing

Business working primarily in an office setting

Business working primarily outside an office setting

Government (Local/State/Federal)

Schools/Education

Medical

Student

Not employed

Other (please specify)

Question Title

* 15. Education level of the individual taking this survey?

Non-high school graduate

High school/GED

Associate's degree

Bachelor's degree

Master's degree

Doctorate degree

Other (please specify)

Question Title

* 16. Population of the community where the individual taking this survey resides?

<1,000

1,000-4,999

5,000-9,999

10,000-49,999

>50,000