Youth Peer Interview Interest Form

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* 1. Are you currently employed as:

a Youth Peer Provider?

a Youth Recovery Coach?

Neither

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* 2. Are you actively providing youth peer support this month?

Yes

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* 3. What state/territory/tribe do you offer youth peer support in?

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* 4. Do you have a reliable internet connection to join a Zoom interview?

Yes

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* 5. Do you have time to participate in a 45 minute Zoom interview in the next two weeks?

Yes

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* 6. Please select all that apply:

I am currently working from home

I am currently going in to the office to work

I am meeting with youth on a virtual platform

I am meeting with youth in person

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* 7. What age category do you fall in?

16-20

21-25

25-29

Over 30

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* 8. What age youth do you provide peer support to?
Please select all that apply.

13-17

18-21

22-26

Over 27

Youth Peer Interview Interest Form

Question Title

* 1. Are you currently employed as:

Question Title

* 2. Are you actively providing youth peer support this month?

Question Title

* 3. What state/territory/tribe do you offer youth peer support in?

Question Title

* 4. Do you have a reliable internet connection to join a Zoom interview?

Question Title

* 5. Do you have time to participate in a 45 minute Zoom interview in the next two weeks?

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* 6. Please select all that apply:

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* 7. What age category do you fall in?

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* 8. What age youth do you provide peer support to?Please select all that apply.

* 8. What age youth do you provide peer support to?
Please select all that apply.