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Mental Health in the Workplace

Questionnaire

Your honest responses help us understand where you are and support your growth. This is confidential and takes about 3–5 minutes.

SECTION 1 — AFTER THE PRESENTATION

1. After watching, how comfortable do you feel discussing mental health with a coworker who may be struggling?
Not comfortable
Slightly comfortable
Moderately comfortable
Very comfortable
2. How confident are you now in knowing what to say when someone reaches out to you?
Not confident
Slightly confident
Moderately confident
Very confident
3. Do you know the crisis helpline number to share with someone who is struggling?
Yes
No
4. Are you aware of the Employee Assistance Program (EAP) available at your workplace?
Yes, and I know how to use it
Yes, but I'm not sure how to access it
I was not aware of it
Not applicable to my workplace

SECTION 2 — REFLECTION

No impact                                                          Life-changing


6. Which part of the presentation resonated with you the most?
Chad's personal story
Signs & symptoms of someone struggling
How to be supportive
Self-talk & self-love
See it. Say it. Do it. action plan
The focus exercise
7. Is there someone in your life right now that you feel may need support?
Yes
No
I'm not sure
8. After watching this presentation, are you more likely to check in on a coworker who seems off?
Yes, definitely
Maybe — I'd like to learn more first
I already do this regularly

SECTION 3 — PERSONAL TAKEAWAY

Needs improvement                                                    Outstanding


12. Would you recommend this training to others?
Yes, absolutely
Maybe
No

"The most important moment in your life is the one you have control over — this very moment."

— Chad Dunlap  |  Upshift with Chad

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