Test Survey

Hello:

You are invited to participate in our survey about youth suicide prevention. It will take approximately 10 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Steven Korzeniewski at (517) 335-8514 or by email at [email protected].

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

Do you think suicide is an impulsive event, or is it planned?

Impulsive

Planned

Do you think suicide is an illness?

Yes

What are your cultural or spiritual beliefs about suicide? [if you have none, please list 'none' in the response box]

What do you think the top 5 causes of suicide are, 1 being the most important? [please enter 1______ 2______ 3____ etc.]

Do you think suicide is preventable?

Yes

What do you think are the top 5 ways to prevent suicide, 1 being the most important? [please list 1___ 2___ 3___ etc.]

If you were depressed, what would you do?

If someone you know were depressed what would you do?

Additional Comments/Suggestions for improvement

Please contact [email protected] if you have any questions regarding this survey.