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The Peer Listening Initiative: After-visit Survey

This survey is completely anonymous, should take no longer than 10 minutes and contains no personal identifying information. We plan to use the survey data for two purposes. 

  1. Program improvement: To improve the experience of peer listening initiative users by incorporating the feedback into the program’s development. This includes changing the way we train our peer listeners, how users interact with our website or booking platform, etc. 

  2. Research and Advocacy: To analyze the survey's responses for research purposes and for advocacy. Information from the survey will be used for grant applications. Information will also be shared with health officials (e.g.  the Chicago health commissioner), so that we can obtain more funding for the program and simultaneously bring attention to the mental health disparities faced by medical students.

By completing this survey, you acknowledge that you understand the way your responses to this survey will be used. 


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DEMOGRAPHICS
We ask for information regarding your demographics to best identify the populations that are most affected by the mental health disparities.
What is your age? *
Which category best describes you? Please select all that applies.  *
Required
How do you describe yourself? Please select all that applies.  *
Required
What is your current year of study?  *
Required
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