Government of New Brunswick
Health

Tell us what you think!
Suicide Awarness Campaign – Let’s talk about grief feedback

Your answers to the following questions help us assess the helpfulness of Let’s talk about grief.

1. What is your age bracket?

Younger than 19
19-30
31-40
41-50
51-65
Older than 65

2. What is the date you acquired this guide:

How did you acquire this guide? Please specify:

3. What is your gender?

Male
Female

4. What is your marital status?

Single
Married
Divorced/Separated
Widowed

5. What is your household income?

Less than $29,000
$29,000-$50,000
$51,000-$100,000
More than $100,000

6. Occupation:
Full-time | Part-time

7. For whom did you obtain Let’s talk about grief?

Self
Other
Received as gift

8. Did the guide help you?

Very much
Some
Not at all

9. Comments/suggestions?

You may also share your comments with us by calling the Canadian Mental Health Association, New Brunswick Division at 506-455-5231, or by e-mail, cmhanb@nb.aibn.com.

Thank you for your time and effort!