Fearless365 Project Survey

Thank you for applying to serve as an expert! The Fearless365 Project helps reporters on deadline connect with violence prevention experts and quickly find vetted data. We also provide strategic communications guidance and media training for violence prevention experts. These services are offered pro bono in the hopes of increasing the media relations capacity of the violence prevention community.

Please help us understand your expertise and communications needs by answering the following questions.

Question Title

* 1. What is the focus of your violence prevention work? (Select all that apply)

Bullying

Crime Rates/Patterns

Child Abuse/CSA

Dating/Domestic

Gangs/Community

Gun Safety

Hate Crimes/Speach

Judicial System

Jails/Police

Mass Shootings

Mental Health

PTSD/Trauma

Re-Entry

Sexual Assault

School Policies/Safe Passages

Suicide

Workplace

Other (please specify)

Question Title

* 2. Please indicate your mode of action/expertise (Select all that apply):

Advocacy

Counseling

Community Organizing

Communications/PR

Economic/Financial

Education/Schools

Human Resources

Law Enforcement/Corrections

Legal/Justice System

Medical

Peace Building/Intervention

Research

Restorative Justice

Training

Please Clarify:

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* 3. What are the key messages you would like to convey?

Question Title

* 4. Please provide links to resources you would like us to use or share.

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* 5. What else should we know about your perspective and expertise?

Question Title

* 6. Please describe your level of comfort with the following forms of media contact:

	Not Comfortable or Confident	Comfortable, Not Confident	Confident and Comfortable
Email correspondence	Email correspondence Not Comfortable or Confident	Email correspondence Comfortable, Not Confident	Email correspondence Confident and Comfortable
Phone interviews	Phone interviews Not Comfortable or Confident	Phone interviews Comfortable, Not Confident	Phone interviews Confident and Comfortable
Online interviews	Online interviews Not Comfortable or Confident	Online interviews Comfortable, Not Confident	Online interviews Confident and Comfortable
Pre-recorded interviews	Pre-recorded interviews Not Comfortable or Confident	Pre-recorded interviews Comfortable, Not Confident	Pre-recorded interviews Confident and Comfortable
Live interviews	Live interviews Not Comfortable or Confident	Live interviews Comfortable, Not Confident	Live interviews Confident and Comfortable
Providing photos	Providing photos Not Comfortable or Confident	Providing photos Comfortable, Not Confident	Providing photos Confident and Comfortable
Pitching stories to media	Pitching stories to media Not Comfortable or Confident	Pitching stories to media Comfortable, Not Confident	Pitching stories to media Confident and Comfortable

Question Title

* 7. Please provide contact information and applicable background:

Name: *

Prefix (Dr./Mr./Ms.): *

Credentials:

Title:

Organization:

LinkedIn or Bio URL:

Twitter:

Email Address: *

Phone Number: *

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* 8. Is there a PR representative at your organization who should be included in our outreach to you?

Yes

If yes, please provide name and contact information.

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* 9. What is the fastest/best way to reach you?

Phone Call

Text

Thank you for taking the time to connect. We will be in touch to learn more about your interests and expertise. Please press "done" to ensure we receive your information and have a wonderful day!