Taking the Next Step

Registration Form

Whether registering as an individual or an organization, please tell us more about yourself or your group. If you are unsure or uncomfortable answering any question, please feel free to skip them. The information gathered in this registration process will be kept confidential and only used to help us evaluate the National Guidelines. If you are registering an organization, please assign one person to be the “Point of Contact.

Implementing the National Guidelines

This section of the survey asks about your workplace’s efforts to implement the National Guidelines.

Please rate the importance of each tactic for your workplace.

Workplace Demographics

Please take a few moments to respond to the following demographic questions. The purpose of this section is to help us make sure our survey is reaching a representative sample of viewpoints.

Workplace Culture & Suicide Prevention, Intervention and Crisis Response

The following questions focus on your company or organization’s culture regarding suicide prevention.

Choose the options that best reflects the extent to which these statements are true for your workplace.

Implementing the National Guidelines

The following questions ask about your workplace’s efforts to implement the National Guidelines.

To what extent has your organization prioritized the following nine practices from the National Guidelines. Please rate the priority level for each practice at your workplace.

Experience with Suicide at Your Workplace

This section asks about suicide experiences in your workplace. Please answer to the best of your knowledge.

Knowledge About Suicide Prevention

These questions ask about your knowledge regarding suicide experiences resources and strategies.

Workplace Employee Assistance Program (EAP)

This section focuses on your workplace’s Employee Assistance Program (EAP).

Final Thoughts

This final question focuses on any other information that you would like to share about suicide prevention in your workplace.

Thank You

Thank you for taking the time to register to be a pledge partner of the National Guidelines. Now let's get started.