HMS Preliminary Interest Form
The following form is intended to ask you a brief set of questions to (1) help our team figure out which version of HMS is best for you, (2) and help the HMS Study Coordinators better understand your specific needs, so they may give you more insight as to what you will need to do to enroll your school in HMS.
Email address *
What is the name of your school or institution? *
Your answer
Why are you interested in having your school participate in HMS?
What is your school's total enrollment size? *
Please provide enrollment size of degree-seeking students, only (unless community college). Please include both undergraduates and graduate students, unless you are only interested in surveying one of those populations.
Your answer
Is your school a member of the Center for Collegiate Mental Health (CCMH)? *
Is your school currently participating in the JED Campus Program? *
In addition to mental health symptoms and service utilization, which of the following topics would you like data on from your students? *
Each topic below corresponds to an elective module in the HMS survey. For more on elective modules, please look over our questionnaire:
When would you ideally launch HMS on your campus? *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of University of Michigan. Report Abuse - Terms of Service - Additional Terms