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FSST At Work Preliminary Screening Survey
Thank you for your interest in the FSST at Work Study! Due to a surge of interest, we have closed recruitment for this study. If you would like to potentially be in our next study, feel free to fill out this screening survey to determine if you may be eligible. If you are preliminarily eligible and provide your contact information, we will reach out to you this June or July before the start of the next study.
The purpose of the FSST at Work research study is to better understand the experiences of employed young adults with mental health conditions. We are asking you to complete this survey, which should take less than 10 minutes, to determine if you are preliminarily eligible for the next phase of the study. Once you fill out this survey, you will immediately be told if you do or do not meet preliminary eligibility requirements.
Confidentiality: Your participation is voluntary and can be stopped at any point. All information you share is confidential and only shared with the research study team and our research sponsors. By filling out this survey, you give permission for the study team to keep your identifiable information (name, email, phone number) until the end of the study recruitment period, at which point it will be removed from your survey response and destroyed.
Questions? Email us at FSST@umassmed.edu
Thank you!
Would you like to find out if you are eligible to be in the study?* must provide value
Yes
No
I'd like more information first
Great! Let's find out if you're eligible. What is your age?* must provide value
Less than 18 years old
18-30 years old
31-40 years old
More than 40 years old
Do you have one or more paid jobs currently?* must provide value
Yes
No
How many hours a week do you work on average?* must provide value
Under 20
20-29
30-40
40+
The option "
Over the past 2 years, have you struggled with any of the following things at work?* must provide value
Excessive lateness
Doing the most important things first/Prioritizing tasks
Concentrating
Maintaining organization
Time management
Effective/timely communication with others (boss, coworkers, customers)
Following directions
Learning new information or skills for the job
Memorizing information
Remembering to do tasks/work things
Getting things done on time at work
No, I have not struggled with any of the above
You selected: ______ . Are these things still an issue for you?* must provide value
Yes
No
The option "
Over the past two years have you ever experienced any of the following things at work?* must provide value
Received a formal warning that your job is at risk
Received a demotion
Had your hours or responsibilities reduced
No, I have not experienced any of the above
The option "
Thinking back over the past 2 years, did you lose a job because of any of the following reasons? (Check all that apply)* must provide value
Layoff
Moved away
Poor attendance
Excessive lateness
Relapse of mental health symptoms
Poor management of the things you need to get done
Not following directions
Missing deadlines
No, I have not lost a job due to any of the above reasons
You selected: ______ . Are these things still an issue for you?* must provide value
Yes
No
Have you ever been diagnosed with a mental health condition by a doctor, therapist/counselor or other mental health or health professional?* must provide value
Yes
No
Unsure
Which of these conditions has a doctor or other professional told you that you have?* must provide value
Depressive mood (e.g., major depressive disorder, dysthymia, etc.)
Bipolar disorder (bipolar disorder I, bipolar disorder II, etc.)
Anxiety disorder (e.g., generalized anxiety, social phobia, agoraphobia, OCD, etc.)
Panic disorder
Trauma-related conditions (e.g., PTSD)
Psychosis (e.g. schizophrenia, schizoaffective disorder, etc.)
Personality disorders (borderline personality disorder, paranoid personality disorder, narcissistic personality disorder, etc.)
Eating disorder
Autism spectrum disorder
Attention deficit disorder/attention deficit hyperactivity disorder (ADD/ADHD)
Substance abuse disorder (abuse/dependence)
Visually impaired/blind
Deaf/hearing impaired
Traumatic brain injury
Specific learning disability (e.g., dyslexia, dysgraphia, dyscalculia, etc.)
Other
Other:* must provide value
Are you planning to work less than 20 hours a week on average in the next 12 months? (This does not include taking time off/vacation).* must provide value
Yes
No
For what reason?* must provide value
Are you currently enrolled full-time or are you planning on enrolling in school, college, or training full-time in the next 12 months?* must provide value
Yes
No
Are you currently enrolled part-time or are you planning on enrolling in school, college, or training part-time in the next 12 months?* must provide value
Yes
No
Are you available to meet for 1-2 hours each week during the hours of 9am-8pm ET? Yes
No
Thank you for your interest. Please provide your contact information and a member from the research team will contact you to provide more information about the next study if you are preliminarily eligible in June or July. Please provide your legal first and last name* must provide value
What is your preferred name, if different from your legal name?* must provide value
What are your preferred pronouns?* must provide value
What is the best phone number to reach you at?* must provide value
Can we text you about the FSST at Work study at this number?* must provide value
Yes
No
What is your preferred email address?* must provide value
What is your preferred method of contact? Call
Text
Email
No preference
How did you find out about us? (Select all that apply) Social Media Ad
Instagram
Facebook
LinkedIn
Twitter
Reddit
Friend
UMass Chan website
Other
Please specify other:
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