QPR Follow Up Survey

To continue to provide valuable training, please fill out this form and let us know how we did.

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* 1. Please enter today's date

Date

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* 2. How did you hear about this training?

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* 3. Where was this training held?

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* 4. Who was your trainer today?

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* 5. Do you feel confident using the skills you learned today?

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* 6. Now that you've received the QPR Gatekeeper training, please indicate how you would rate your knowledge of suicide in the following areas below.

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* 7. Facts concerning suicide prevention

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* 8. Warning signs of suicide

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* 9. How to ask someone about suicide

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* 10. Persuading someone to get help

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* 11. How to get help for someone

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* 12. Information about local resources for help with suicide

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

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* 14. Do you feel likely to ask someone if they are thinking of suicide?

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* 15. Please rate your understanding about suicide and suicide prevention.

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* 16. Do you work in a health or health-related field? (mental health, physical health, etc.)

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* 17. Do you work as a first responder? (EMT, paramedic, firefighter, etc.)

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* 18. If you answered yes to either of the last two questions, what is your field of employment? (If no, respond N/A in the area below.)

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* 19. Please provide your overall rating on the quality of this training.

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* 20. How likely are you to refer a friend to QPR training?

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* 21. What aspects of the training were done particularly well?

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* 22. Is there an organization we should facilitate this QPR training for? (employer, church, community organization, etc. If not, reply N/A)

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* 23. Would you like to receive information about upcoming MHA training, services and events?

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