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Resiliency Division Questionnaire
The purpose of this survey is for the Resiliency Division to learn more about what services you would like to see and how we can best serve the community. Thank you for taking the time to provide us with your feedback!
Name:
Email Address:
Phone Number:
Preferred Language:
English
Spanish
Other (please specify)
Preferred Contact Method:
Phone Call
Text Message
Email
Physical Mail
What is your connection to the event?
Family member or loved one killed
Present, injured
Present, not injured
Friend, family or loved one of someone present
Community member impacted by event
First Responder
Family, friend or loved one of first responder
Emergency medical staff
Other (please specify)
Are you interested in one-on-one support?
Yes
No
Undecided
Are you interested in attending a support group?
Yes
No
Undecided
What type of support groups would you be interested in?
What types of social or wellness events would you be interested in?
Crafting
Yoga
Meditation
Open mic
Improv
Story-telling
Fitness classes
Suggestions:
What days and times work best for you? Please be specific.
Would you attend virtual events?
Yes
No
Undecided
Would you like to receive email updates and announcements from the resiliency division?
Yes
No
Would you like to receive email updates about the planning of the permanent place of remembrance?
Yes
No
Is there any other feedback you would like to provide?
