1.I am a:

Youth

Parent/Guardian

Adult

2.Age:

Under 12

12 to 13

14 to 15

16 to 17

18 to 19

20 to 21

22 to 24

24 and above

3.Race:

White/Caucasian

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

Asian

American Indian or Alaska Native

Multi-Racial

4.Sex:

Female

Male

5.Have you ever called NRS' online services before?

Yes

No

6.I chose to contact NRS today via:

Email

Forum

Chat

Text

7.After communicating with NRS, I feel more supported than I did before contacting NRS.

Strongly Agree

Agree

Average

Disagree

Strongly Disagree

Strongly Agree

Agree

Average

Disagree

Strongly Disagree

8.NRS discussed options and resources that will help me address my situation.

Strongly Agree

Agree

Average

Disagree

Strongly Disagree

Strongly Agree

Agree

Average

Disagree

Strongly Disagree

9.Overall, NRS was effective in helping me today.

Strongly Agree

Agree

Average

Disagree

Strongly Disagree

Strongly Agree

Agree

Average

Disagree

Strongly Disagree

10.Would you recommend NRS' online services to a friend?

Yes

No

11.Do you have any additional comments or suggestions for NRS?