School Mental Health Staff Evaluation Form
USA?
Yes
No
Country
Country Copy
School
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Account ID NOT USA
State
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School
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Account ID USA
Account ID
Did your school utilize the self-referral cards during the Erika's Lighthouse Program?
Please select...
Yes
No
How many requested to speak with someone in 24 hours or within a week?
The Erika’s Lighthouse Classroom Programs help reduce barriers for students accessing mental health resources in school
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My school utilizes the Erika’s Lighthouse Classroom Programs to help identify students that may be struggling with mental health issues
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Erika’s Lighthouse is a key partner for our school’s mental health program
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Erika’s Lighthouse programs promote a positive, inclusive culture in my school environment
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
What other mental health resources/education materials are you using in your building??
What are different ways that you would deliver the program materials that might be more beneficial to your students?
Other comments/feedback
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