2021 Active Minds Alumni Survey

This survey helps the Active Minds national office to better understand your involvement in and experience of Active Minds. With this information, we can develop stronger resources, programs, and tools for you and the Active Minds network to support student mental health.

Please submit your responses by Wednesday, July 7.

If you have any questions or concerns, please don't hesitate to contact us at program@activeminds.org.

First Name

Last Name

What is your Mailing Address?

Street Address:

Street Address 2

City

State

Other State

Zip Code

Primary Email Address (permanent email address preferred, i.e. gmail.com)

Confirm Email Address

Current Job Title or Field of Studies

Current Organization /Institution

Current Field:

Please specify other:

For any academic diplomas or degrees you have earned or pursued (even if you did not complete them), please share the name of the institution(s), type of diploma or degree earned, and fields of study:

Name of First Institution: (No abbreviation, please)

Type of diploma or degree earned or pursued:

Graduation Year

Field of study

Name of Second Institution: (No abbreviation, please)

Type of diploma or degree earned or pursued:

Graduation Year

Field of study

Name of Third Institution: (No abbreviation, please)

Type of diploma or degree earned or pursued:

Graduation Year

Field of study

In which of the following ways (if any) were you involved in your Active Minds Chapter?

Please specify Other:

Please indicate the degree to which your involvement in Active Minds as a student influenced the following: (extremely influential, very influential, somewhat influential, slightly influential, not at all influential):

Your sense of belonging at your school

Your overall experience at your school

Your career plans or aspirations

Your confidence in your ability to approach and discuss concerns with a friend in distress

Your leadership skills

In which of the following ways (if any) do you continue to apply what you learned through Active Minds (check all that apply)?

Please specify Other:

Do you have any other feedback or information you would like to provide?

Contact Information