UCA WAVES 11/4 Webinar Pre-Survey

"Talking Together Saves Lives" Registration & Pre-Survey

Thank you in advance for registering and completing this short survey!
Confidentiality Statement

Information collected in this survey will be held in strict confidentiality and will be used in aggregate form only, without individual identifications.
Will you be able to attend the "Talking Together Saves Lives" webinar on Zoom, 11/4 at 6:30 pm EST?*

YesNoMaybe
First Name*
Last Name*
Email*
example@example.com
What school/university do you attend or work at?

UNCNCCUDukeN/AOther
If "other," what school/university do you attend?
Which of the following are you?

StudentFacultySchool/University StaffParentCommunity memberOther
If "other," please specify:
Any role(s) you play in the community that you'd like to share
I signed up for the webinar to (Select all that apply):

Find a safe space to learn/discuss mental health issuesLearn about risk factors for mental health issues and how to address themHear personal narratives and messages of resilience and hopeLearn about how to reach out for help for mental health issuesLearn about specific resources for mental health (hotlines, websites, apps)Learn about action steps to destigmatize mental illness and promote mental healthOther
If "Other," please specify:
Reasons you signed up for the Cultural Identity webinar
Please select the response that best describes your level of agreement: Strongly disagree (0) to Strongly agree (5).
1. I feel confident in my ability to identify when my loved ones and/or peers are having mental health issues.

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1 is Strongly disagree, 5 is Strongly agree
2. I feel confident in my ability to support my loved ones and/or peers when they are having mental health issues.

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1 is Strongly disagree, 5 is Strongly agree
3. I feel confident in my ability to ask for help and seek out support if I were to have mental health issues.

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1 is Strongly disagree, 5 is Strongly agree
4. People in my community would think less of a person who has a mental health problem.

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1 is Strongly disagree, 5 is Strongly agree
5. Having been mentally ill comes with a feeling of shame.

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1 is Strongly disagree, 5 is Strongly agree
6. Psychological problems tend to work out by themselves.

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1 is Strongly disagree, 5 is Strongly agree
7. Seeking professional help means you are not strong enough to manage your own difficulties.

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1 is Strongly disagree, 5 is Strongly agree
8. Would you be interested in receiving Mental Health First Aid (MHFA) training?

Yes, I would like to receive MHFA trainingYes, I would like to receive MHFA training and also become a MHFA trainerNo
9. Would you be interested in participating in peer support groups?

YesNoAlready involved
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"Talking Together Saves Lives" Registration & Pre-Survey