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Mental Resilience Survey

Mental Resilience Survey

This brief survey is designed to assess how the January 6 community is coping and recovering.  With such a large (and diverse) group of individuals, this survey will help inform the types of resources that can be assembled to best serve the needs of the community.  Thank you for your participation!
19Questions
  • 1
    Results of the survey are anonymous. By providing your email, we are able to verify that you are an actual person. In addition, you will receive access to the results when they are available.
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  • 2
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  • 3
    Please Select
    • Please Select
    • Accepted Plea
    • Bench Trial
    • Trial
    • Awaiting Trial
    • Charges dismissed
    • Other
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  • 4
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  • 5
    Please Select
    • Please Select
    • Prison
    • No prison, probation
    • No prison, no probation
    • other
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  • 6
    if less than 1 month, you can put "1", or a decimal (0.5).
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  • 7
    Please Select
    • Please Select
    • Completed my sentence
    • Completed 50% or more of my sentence
    • Completed <50% of my sentence
    • Did not begin my sentence
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  • 8
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  • 9
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  • 10
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  • 11
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  • 12
    Please slide to the left for an item if it is significantly worse for you now than before January 6, and to the right if it is significantly better.
    Much worse
    Somewhat Worse
    Unchanged
    Somewhat Better
    Much Better
    Much worse
    Somewhat Worse
    Unchanged
    Somewhat Better
    Much Better
    Much worse
    Somewhat Worse
    Unchanged
    Somewhat Better
    Much Better
    Much worse
    Somewhat Worse
    Unchanged
    Somewhat Better
    Much Better
    Much worse
    Somewhat Worse
    Unchanged
    Somewhat Better
    Much Better
    Much worse
    Somewhat Worse
    Unchanged
    Somewhat Better
    Much Better
    Spouse / Partner Relationship
    Close Family Relationships
    Friend Relationships
    Physical Health
    Emotional / Mental Health
    Work/Job/Income
    Much worse
    Somewhat Worse
    Unchanged
    Somewhat Better
    Much Better
    Much worse
    Somewhat Worse
    Unchanged
    Somewhat Better
    Much Better
    Much worse
    Somewhat Worse
    Unchanged
    Somewhat Better
    Much Better
    Much worse
    Somewhat Worse
    Unchanged
    Somewhat Better
    Much Better
    Much worse
    Somewhat Worse
    Unchanged
    Somewhat Better
    Much Better
    Much worse
    Somewhat Worse
    Unchanged
    Somewhat Better
    Much Better
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  • 13
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  • 14
    Please rate each statement based on how it applies to you today.
    Never
    Rarely
    Some of the time
    A lot of the time
    Never
    Rarely
    Some of the time
    A lot of the time
    Never
    Rarely
    Some of the time
    A lot of the time
    Never
    Rarely
    Some of the time
    A lot of the time
    Never
    Rarely
    Some of the time
    A lot of the time
    Never
    Rarely
    Some of the time
    A lot of the time
    Never
    Rarely
    Some of the time
    A lot of the time
    Never
    Rarely
    Some of the time
    A lot of the time
    I have difficulty concentrating or making decisions, even on simple tasks.
    I am easily startled or feel "on edge" much of the time.
    I find it hard to get motivated or feel like there’s no point in doing things.
    I have little interest or pleasure in doing things that I once enjoyed.
    I find it difficult to experience positive emotions (e.g., feeling joy or love).
    I feel emotionally numb or detached from others, even from people I care about.
    I feel down, depressed, or hopeless much of the time.
    I have negative thoughts about myself or the world (e.g., feeling hopeless, worthless, or that the world is unsafe).
    Never
    Rarely
    Some of the time
    A lot of the time
    Never
    Rarely
    Some of the time
    A lot of the time
    Never
    Rarely
    Some of the time
    A lot of the time
    Never
    Rarely
    Some of the time
    A lot of the time
    Never
    Rarely
    Some of the time
    A lot of the time
    Never
    Rarely
    Some of the time
    A lot of the time
    Never
    Rarely
    Some of the time
    A lot of the time
    Never
    Rarely
    Some of the time
    A lot of the time
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  • 15
    Please select all that apply. if none have improved, please select "None".
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  • 16
    In this section, please state how satisfied you are with that aspect of your life:
    Not Satisfied
    Somewhat Satisfied
    Satisfied
    Any thoughts?
    Not Satisfied
    Somewhat Satisfied
    Satisfied
    Any thoughts?
    Not Satisfied
    Somewhat Satisfied
    Satisfied
    Any thoughts?
    Not Satisfied
    Somewhat Satisfied
    Satisfied
    Any thoughts?
    Not Satisfied
    Somewhat Satisfied
    Satisfied
    Any thoughts?
    Not Satisfied
    Somewhat Satisfied
    Satisfied
    Any thoughts?
    Spouse/Partner Relationship
    Close Family Relationships
    Job/Career
    Financial Stability
    Your Own Mental Health
    Community Support
    Not Satisfied
    Somewhat Satisfied
    Satisfied
    Any thoughts?
    Not Satisfied
    Somewhat Satisfied
    Satisfied
    Any thoughts?
    Not Satisfied
    Somewhat Satisfied
    Satisfied
    Any thoughts?
    Not Satisfied
    Somewhat Satisfied
    Satisfied
    Any thoughts?
    Not Satisfied
    Somewhat Satisfied
    Satisfied
    Any thoughts?
    Not Satisfied
    Somewhat Satisfied
    Satisfied
    Any thoughts?
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  • 17
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  • 18
    please check all that apply
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  • 19
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    • Large
    • Normal
    • Small
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    quoteCreated with Sketch.
    Ok
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