Post Debrief Screen: Anonymous
The information gathered from this screen will be used to track the effectiveness of debriefs at different agencies and may be used to help adjust protocols or form recommendations for wellness support for various agencies. NO individual data is gathered. Dr. Dardeen will keep the data and share only data that does not identify a specific agency or individual.
Please share the month of the incident?
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January
February
March
April
May
June
July
August
September
October
November
December
What was the incident type
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Child Death
Vehicle Fatality
Other fatality not listed
Suicide
Other trauma not resulting in a death
If not listed enter here
Was the debrief held at: (Choose one)
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At your agency
At Suncrest Psychological Services
At another agency that was also involved
Did the debrief include more than one agency?
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Yes
No
Was the debrief helpful to you?
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Yes
No
Please provide a brief description as to why you choose yes or no (optional)
Did you feel comfortable participating in the debrief?
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Yes
No
Please provide a brief description of why if you answered (No)
Would you participate in another debrief if given the opportunity?
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Yes
No
How do you feel: (choose only one)
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Better
Worse
No difference after the debrief
Would you recommend this type of debrief to others?
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Yes
No
Please provide a brief description of why yes or no.
Were you bothered by being contacted to participate in a debrief:
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Yes
No
Submit
Should be Empty: