Youth Mental Health Module Series Feedback

Please take a few minutes to complete this survey regarding the mental health module you completed.

Question Title

* 1. Grade

Question Title

* 2. School

Question Title

* 3. Which module did you complete?

Suicide Prevention

Anxiety

Substance Use and Mental Health

Marijuana Use and Mental Health

Question Title

* 4. Did you complete this module in:

A Class

After School Program

On your own

Other (please specify)

Question Title

* 5. If you selected you completed this module in a class or afterschool program, please identify which class or program.

Question Title

* 6. How relevant do you feel the module was to issues youth commonly face?

Not relevant at all

Somewhat relevant

Neither irrelvant or relevant

Relevant

Very relevant

Not relevant at all

Somewhat relevant

Neither irrelvant or relevant

Relevant

Very relevant

Question Title

* 7. Do you have any comments or feedback you would like to provide?