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Gender:
 
 
 
Do you currently work as a School Psychologist in a school setting?
 
 
Yes
 
No
 
 
Please select the closest description of your primary work setting.
 
 
Private practice
 
University
 
Residential Treatment/ Hospital
 
Other, please describe
 
 
 
How many years have you practiced as a School Psychologist?
   
 
 

What is your highest level of training?
 
Specialist
 
Doctorate
 
 
 
What year did you obtain your most recent degree?
   
 
 
 
How many students are in your district?
   
 
 
 
What is the approximate student-to-school psychologist ratio in your district?
   
 
 

Select the best descriptor of your district.
 
Rural
 
Suburban
 
Urban
 
 
 
How many schools are you assigned?
   
 
 
Describe the schools which you service.
Select all that apply.
 
Elementary
 
Middle School
 
High School
 
Other

 
 
 
Assessment
   
Consultation
   
Intervention
   
Counseling
   
Administrative Tasks (report writing, meetings)
   
 
 

Did you receive training in crisis intervention at the university you attended?
 
Yes
 
No
 
 
Please specify the type of training you received:
Select all that apply.
 
specific crisis intervention class
 
crisis intervention class in another department
 
not a specific class but content mingled in several courses
 
seminars/workshops
 
other

 
 

Describe how well you feel your university training program prepared you to deal with school crisis.
 
Very well
 
 
Well
 
 
Not very well
 
 
During practicum or internship did you have the opportunity to participate in crisis intervention activities?
 
 
Yes
 
No
 
 

Please specify what those crisis were:
(Check all that apply)
 
suicide
 
creating school district crisis plans
 
dealing with media during crisis
 
Post Traumatic Stress Disorder
 
sexual abuse
 
physical abuse
 
Grief and death
 
Terminal illness
 
Violence and/or aggression
 
Gang violence
 
Weapons/guns
 
Drugs
 
Natural disasters
 
Other, Please describe

 
 

In your university program do you feel that you had adequate supervision for developing crisis intervention skills?
 
Yes
 
No
 
 

Who provided the majority of your supervison for crisis intervention?
 
University professor
 
Practicum/internship supervisor
 
both, equally involved
 
 
Since graduating, what types of crisis internvention training have you received?
Select all that apply.
 
None
 
First Aid
 
Local inservice/seminars/training
 
Red Cross Training specific to crisis intervention
 
NOVA
 
NASP (specific crisis training)
 
APA convention
 
Other national conventions
 
State or regional meetings
 
Reading books about crisis intervention
 
Reading journals about crisis intervention
 
Other, please describe

 
 

How were these training opportunities provided?
 
Through my school district
 
Sought out training on my own
 
Combination
 
 
Does your district or individual school have a crisis plan in place?
 
 
Yes
 
No
 
 

 
 
District wide crisis plan
 
Individual school plan
 
Both district and individual school plans
 
 

How familiar are you with the district or school crisis plan(s)?
 
Extremely familiar
 
 
Familiar
 
 
Not at all familiar
 
 

Does your District or Individual School have a formal crisis team established?
 
Yes
 
No
 
 

Are you a member of the team(s)?
 
Yes
 
No
 
 

Would you describe participation on this team as voluntary or mandatory for school psychologists employed by your district?
 
Voluntary
 
Mandatory
 
 

Would you still participate if this was not a required responsibility?
 
Yes
 
No
 
Maybe
 
 

Rate your overall level of comfort when dealing with school crisis.
 
Extremely comfortable
 
 
Comfortable
 
 
Not at all comfortable
 
 
 
Please elaborate on the reasons why you feel comfortable.
   
 
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