OMB Control Number: 0925-0648         Expiration Date: 5/31/2021

Thank you for taking part in today’s event. Please take a few minutes to complete a brief assessment about the impact of this Brother, You’re on My Mind activity.

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* 1. Date (please enter in MM/DD/YYYY format):

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* 2. Location (city, state):

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* 3. Omega chapter:

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* 4. What is your age?

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* 5. What is your sex?

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* 6. What is your gender identity?

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* 7. Are you Hispanic, Latino, or of Spanish origin?

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* 8. What is your race? (check all that apply)

BEFORE today's event: 

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* 9. I believed mental illness was often confused with effects of drug abuse.

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* 10. I believed mental illness was caused by something biological.

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* 11. I believed most people with depression could get better with treatment.

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* 12. I believed men displayed signs of depression more often through anger and irritation.

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* 13. If any of my relatives or friends had a mental illness, I would have told them not to tell anyone.

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* 14. I believed only people who were weak or overly sensitive let mental illness affect them.

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* 15. I would not have told anyone if I had depression.

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* 16. I believed it was a good idea to avoid any discussion of mental illness.

AFTER today's event

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* 17. I believe mental illness is often confused with effects of drug abuse.

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* 18. I believe mental illness is caused by something biological.

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* 19. I believe most people with depression can get better with treatment.

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* 20. I believe men display signs of depression more often through anger and irritation.

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* 21. If any of my relatives or friends had a mental illness, I would tell them not to tell anyone.

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* 22. I believe only people who are weak or overly sensitive let mental illness affect them.

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* 23. I would not tell anyone if I had depression.

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* 24. I believe it is a good idea to avoid any discussion of mental illness.

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100% of survey complete.

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