Cradle to Career Reporting Form: Mental Health-Related Events 2019
The purpose of this form is to support our Cradle to Career goal of increasing the number of events (meetings, gatherings, planning sessions, etc.) where parents and youth have safe spaces to talk about mental health issues.
Email address *
Full name (first & last): *
Your answer
Organization: *
Your answer
Event name: *
Events include, but are not limited to, meetings, gatherings, and planning sessions.
Your answer
What was the main mental health-related focus/topic/theme of this event?
Your answer
Event frequency: *
Event date: *
MM
/
DD
/
YYYY
Event start time: *
Time
:
Event end time: *
Time
:
Tompkins County town: *
Where did this event occur? *
Please provide an address, building, and/or general location details.
Your answer
Select all participant groups: *
Required
Number of participants (estimated): *
Your answer
Primary event purpose: *
**The questions below are optional, but encouraged.**
What type of event evaluation was used?
Your answer
How successful was this event?
Your answer
Were there any significant insights, lessons learned, and/or other takeaways?
Your answer
Any other comments/feedback?
Your answer
Do you need any help or support for future events?
If yes, please provide a description of your current struggles and expectations/ideas for assistance.
Your answer
A copy of your responses will be emailed to the address you provided.
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