Name

Email

1. How important is psychological first aid in Haiti to you professionally?

1 = not important …… 5 = very important

12345

2. How important is psychological first aid in Haiti to you personally?

1 = not important …… 5 = very important

12345

3. How important is psychological first aid to building your resume?

1 = not important …… 5 = very important

12345

4. How capable is your family in Miami/US, of providing psychological first aid?

1 = not important …… 5 = very important

12345

5. How much more capable of psychological first aid would you like your family to be?

1 = not important …… 5 = very important

12345

Would you be interested in becoming a psychological first aid coach? If yes, what is the best way to reach you?

Who would be the best community leaders to inform people about psychological first aid training?

Are you available for a more in-depth survey about psychological first aid skills? If yes, what is the best way to reach you?

Δ