Mental Health Awareness Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form is completely optional and is entirely anonymous. All information will be used to improve training options and policies for faculty regarding student mental health.

This survey should take (<2 minutes) and includes 5 multiple choice questions and an optional free response question.

Does your class syllabus include DRES information?

NOTE: This form is completely anonymous and has no repercussions

Yes

Clear selection

Does your class syllabus include mental health information?

This can include information about university resources, crisis information, etc.

Yes

Clear selection

How informed do you feel about mental health?

Not informed at all

Very informed

Clear selection

If you responded 2 or less to the previous question, have you considered one of the following options?

The University of Illinois Urbana-Champaign Kognito At-Risk Suicide Prevention Training is a 30-45 minute online training offered by the university that includes campus-specific resources and trains users to identify at-risk individuals. The Mental Health First Aid Training program is an 8 hour training that allows attendees to become certified in responding to mental health crisis situations.

I have completed the University of Illinois Urbana-Champaign Kognito At-Risk Suicide Prevention Training

I plan on completing the University of Illinois Urbana-Champaign Kognito At-Risk Suicide Prevention Training

I have completed a Mental Health First Aid Training

I plan on completing a Mental Health First Aid Training

I do not plan on doing any of these at this time

Would you be willing to include a statement on mental health resources in your syllabus?

This would be a pre-approved statement template approved by the College of Engineering and Counseling Center

Yes

Clear selection

Do you have any other feedback or thoughts you would like to provide?

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms