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Question 1
Class?
Freshman
Sophomore
Junior
Senior
Other
Question 2
How did you attend classes this semester?
(You may select more then one answer)
Online
In person
Hybrid
Other
Question 3
Over the last semester, how would you rate your overall mental health ?
Excellent
Somewhat Good
Average
Somewhat Poor
Poor
Not Sure
Question 4
On a scale from 1-10, with 1 being not at all and 10 being very affected, how has COVID affected your Mental Health?
Select Answer
1
2
3
4
5
6
7
8
9
10
Question 5
Are any of the following the cause of increased stress? (You may select more then one answer)
Financial worries/ student loans
Course Work
Personal problems on top of university work
Worrying about finding a job after university
Social worries including feeling lonely/missing family and friends
COVID
Other
Question 6
Over the last semester, how often did you feel ridiculed or put down by your peers?
Never
Rarely
Sometimes
Most of the time
Always
Question 7
On a scale from 1-10, with 1 being not stressed at all and 10 being very stressed, how would you rate your average level of stress in the past 30 days?
Select Answer
1
2
3
4
5
6
7
8
9
10
Question 8
On a scale from 1-10, with 1 being ineffective and 10 being very effective, how would you rate your ability to manage your stress in the past 30 days?
Select Answer
1
2
3
4
5
6
7
8
9
10
Question 9
Do you use any of the following on a daily basis to cope with your feelings/emotions?
(You may select more then one answer)
Alcohol
Tobacco
Marijuana
Sex
Caffeine
Exercise
Binge eating/food
Violence
Religion
Other recreational drugs
Prescribed medications
Mindfulness
Deep breathing
Social connections
Social media
Video games
None of the above
Other
Question 10
What topics would you be interested in knowing more about?
(You may select more then one answer)
Self-understanding
Interpersonal relationships
Study skills
Communication skills
Decision making
How to manage anger
Signs of depression & suicidal behavior
What to do if a friend is thinking about suicide
How to handle stress in healthy ways
Benefits of physical activities on your mental health
Other
Question 11
During the last semester, have you accessed the Crisis Line?
Select Answer
Yes
No
Prefer not to answer
Question 12
During the last semester, have you contacted CAPS for assistance?
Select Answer
Yes
No
Prefer not to answer
Question 13
During the last semester, did you feel you should have contacted the Crisis Line but did not?
Select Answer
Yes
No
Prefer not to answer
Question 14
What would make you more comfortable in the future to contact CAPS and/or the Crisis Line for help?
Question 15
Do you currently see a Mental Health Professional somewhere other than CAPS?
Select Answer
Yes
No
Prefer not to answer
Question 16
Overall impression of CAPS?
Question 17
Was our webpage on the FSU site helpful to you?
Yes
No
I didn't know you had a webpage
N/A
We could change:
Question 18
If you would like the Clinical Director to contact you to discuss a question or concern please provide your name, phone number, and e-mail in the blocks below.
Name
Phone number
Email
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