1. Surveys
  2. 2015
  3. April
  4. D
  5. Draft1
0%
Exit Survey
 
 
What range does your age fall within?
 
23-29
 
30-39
 
40-49
 
50-59
 
60-69
 
70-79
 
80-89
 
90-99
 
 
 
What is your level of education?
 
High School
 
Some College
 
Trade/Vocational/Technical
 
Associates
 
Bachelors
 
Masters
 
Professional
 
Doctorate
 
 
 
What is your gender?
 
Male
 
Female
 
 
 
What is your race/ethnicity?
 
Hispanic or Latino
 
American Indian or Alaska Native
 
Asian
 
African American
 
Native Hawaiian or Other Pacific Islander
 
White
 
Other
 
 
 
Do you consider yourself a religious individual?
 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
 
Do you consider yourself a spiritual individual?
 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
 
Which religion do you belong to?
 
Christianity
 
Islam
 
Judaism
 
Hinduism
 
Buddhism
 
Sikh
 
Shinto
 
Jainism
 
Agnostic
 
Atheist
 
Other
 
 
 
How many years of experience do you have diagnosing mental illness?
 
0-1
 
2-5
 
6-10
 
11-15
 
16-20
 
21-30
 
31-40
 
41-50
 
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