Lewis and Clark Public Health MHAT Pre-training Survey
SECTION I: Please fill out this form BEFORE training begins. The anonymous information you provide will be used to assess the effectiveness of the Mental Health Awareness Training Program that funds this course.

Your email address will be kept confidential and will not be used in any reporting. We are asking for your email address in order to combine your pre-training survey and post-training survey results.
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Email *
Age *
Gender *
Ethnicity *
Have you or a family member ever served in the military? *
Are you attending this training for your role as a: *
Before you take the training how would you rate your confidence in the following areas? *
Strongly Disagree
Strongly Agree
I feel confident in my level of understanding about suicide, suicide prevention and mental health.
I can recognize the signs a person may be dealing with a mental health problem or suicidal crisis.
I feel prepared to help a person at risk of suicide.
I can help a person who may be dealing with a mental health problem, or suicidal crisis by connecting them with resources
I feel confident in my ability to recognize and correct mistaken beliefs about mental health, suicide and mental illness as I come across them.
Since 2018, how many of the following training programs have you taken in Lewis and Clark County that are included in the following list: QPR (Question, Persuade, Refer); Youth Mental Health First Aid; Mental Health First Aid; Applied Suicide Intervention Skills Training (ASIST). *
A copy of your responses will be emailed to the address you provided.
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