QPR Pre-Training Questionnaire
Please complete this questionnaire before your QPR training. Your answers will help us improve prevention efforts and expand our reach in the community.
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What is your Training ID number, provided by your instructor?
You are participating in this training as a(n)...
While you may identify as more than one, choose the option that best describes you in this setting.
Clear selection
Do you identify with any other communities?
This time, please select all that apply.
What is your first language?
Clear selection
What is your race/ethnicity?
Select all that apply.
What is your gender?
Select all that apply.                                                                                                                                                                                
If your identity/identities are not listed and you would like to share, please do so here.
Do you identify as LGBTQ+?
(Lesbian, Gay, Bisexual, Transgender, Queer)
Clear selection
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