Screening Participant Follow-Up Survey

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* 1. I attended the following screening of Connecting The Dots

Screening Date:

Host Organization:

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* 2. Please enter your name (**Optional. You can respond to this survey anonymously.)*

First Name

Last Name

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* 3. Country:

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* 4. Email address:

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* 5. I attended the event in my capacity as (choose one that applies the most):

A parent

A peer supporter/youth advocate

A student

A teacher

A person with lived experience/client

A mental health practitioner/professional

A paid staff member at an organization focused on youth mental health

A volunteer at an organization focused on youth mental health

General Interest

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* 6. Age:

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 7. After the screening of Connecting the Dots my awareness and understanding of youth mental health issues was:

Greatly deepened

Deepened a little bit

I didn’t learn anything knew

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* 8. The scene/theme I appreciated the most in the film was:

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* 9. The one thing that impacted me the most in the film was:

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* 10. This screening event improved my personal overall wellbeing:

Yes

Unsure

N/A

Please elaborate:

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* 11. What did you think of the post screening discussion and activities?

Very useful and interesting

Somewhat useful and interesting

Not useful or interesting

N/A (not applicable)

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* 12. What did you learn from the post screening discussion and activities? Can you elaborate?

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* 13. The screening event has inspired me to become an advocate for youth mental health or play a new role in supporting and improving youth mental health in my community?

Yes

Please elaborate:

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* 14. If you could implement one specific change in the way youth mental health is addressed in your community what would that be?

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* 15. Would you recommend the film to someone you know?

Yes

Screening Participant Follow-Up Survey

Question Title

* 1. I attended the following screening of Connecting The Dots

Question Title

* 2. Please enter your name (**Optional. You can respond to this survey anonymously.)*

Question Title

* 3. Country:

Question Title

* 4. Email address:

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* 5. I attended the event in my capacity as (choose one that applies the most):

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* 6. Age:

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* 7. After the screening of Connecting the Dots my awareness and understanding of youth mental health issues was:

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* 8. The scene/theme I appreciated the most in the film was:

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* 9. The one thing that impacted me the most in the film was:

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* 10. This screening event improved my personal overall wellbeing:

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* 11. What did you think of the post screening discussion and activities?

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* 12. What did you learn from the post screening discussion and activities? Can you elaborate?

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* 13. The screening event has inspired me to become an advocate for youth mental health or play a new role in supporting and improving youth mental health in my community?

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* 14. If you could implement one specific change in the way youth mental health is addressed in your community what would that be?

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* 15. Would you recommend the film to someone you know?

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* 16. Any other comments about the film or the event you would like to share with us?

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* 17. Can we share your written responses?

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* 18. In what country do you currently reside?

Screening Participant Follow-Up Survey

Question Title

* 1. I attended the following screening of Connecting The Dots

Question Title

* 2. Please enter your name (*Optional. You can respond to this survey anonymously.)

Question Title

* 3. Country:

Question Title

* 4. Email address:

Question Title

* 5. I attended the event in my capacity as (choose one that applies the most):

Question Title

* 6. Age:

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* 7. After the screening of Connecting the Dots my awareness and understanding of youth mental health issues was:

Question Title

* 8. The scene/theme I appreciated the most in the film was:

Question Title

* 9. The one thing that impacted me the most in the film was:

Question Title

* 10. This screening event improved my personal overall wellbeing:

Question Title

* 11. What did you think of the post screening discussion and activities?

Question Title

* 12. What did you learn from the post screening discussion and activities? Can you elaborate?

Question Title

* 13. The screening event has inspired me to become an advocate for youth mental health or play a new role in supporting and improving youth mental health in my community?

Question Title

* 14. If you could implement one specific change in the way youth mental health is addressed in your community what would that be?

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* 15. Would you recommend the film to someone you know?

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* 16. Any other comments about the film or the event you would like to share with us?

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* 17. Can we share your written responses?

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* 18. In what country do you currently reside?

* 2. Please enter your name (**Optional. You can respond to this survey anonymously.)*