Mental Health In Robotics
* Required
First Name and Last Initial (Optional)
Your answer
What is the name of your team/club?
*
Your answer
Is your team from Arizona or California?
*
Arizona
California
What level of FIRST does your team participate in?
*
FLL
FTC
FRC
N/A
Required
Contact Information (email address) (Optional)
Your answer
Please check ALL that applies; Have you ever been diagnosed with...
*
Depression
PTSD
Anxiety
Bipolar Disorder
Mood Disorder
Personality Disorder
None of the above
Other:
Required
What is your average stress level?
*
Completely relaxed
1
2
3
4
5
6
7
8
9
10
Stressed out about everything, all the time
Where do you feel your best/happiest/calmest?
*
With my club/team
At home
At school
Other:
I work better in a group setting...
*
True
False
How often does your team/club meet?
*
1-3 times a week
3-6 times a week
Every day
Once a month
Every couple of months
Other:
Does your team have any programs or things that they do to address/support mental health on the team? If yes, briefly explain.
*
Your answer
Do you believe that mental health is a concern on your team? If yes, briefly explain.
*
Your answer
Submit
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Additional Terms
Forms
