SPA: Annual Questionnaire

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Please fill out and submit this form annually. We want to know how you are feeling and and what we can do to better support you and the community!

Email *

How many clients did you work with this year?

Other:

Clear selection

How many of your clients that were admitted to the ER were re-admitted to the ER?

Other:

Clear selection

How many of your clients have expressed to you that they are improving?

Other:

Clear selection

How many of your clients are stable and following through with their safety plan?

Other:

Clear selection

How many people have you worked with that have come to you because they know you do this work and not necessarily because they are looking for REPS resources?

Other:

Clear selection

Do you feel like you are making a positive impact in this community?

Yes

Maybe

Clear selection

If at all, how else would you like to be involved with REPS?

What are your main concerns for the community in terms of mental health and suicide prevention?

Where are you seeing the greatest risk? What demographic is in need of the most support?

What is something that is working well?

What is something that needs improvement? What can REPS do to better support you or to be more effective in the community?

Additional comments or concerns?

Submit

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