{"id":30148,"date":"2026-10-20T11:37:23","date_gmt":"2026-10-20T18:37:23","guid":{"rendered":"https:\/\/extension.wsu.edu\/skagit\/?page_id=30148"},"modified":"2026-10-20T12:06:34","modified_gmt":"2026-10-20T19:06:34","slug":"wsu-farm-stress-program-evaluation-questionnaire","status":"publish","type":"page","link":"https:\/\/extension.wsu.edu\/skagit\/wsu-farm-stress-program-evaluation-questionnaire\/","title":{"rendered":"WSU Farm Stress Program Evaluation Questionnaire"},"content":{"rendered":"<div class=\"wsu-row wsu-row--sidebar-right\" >\r\n    \n<div class=\"wsu-column\"  style=\"\">\r\n\t\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme' id='gform_wrapper_54' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">WSU Farm Stress<\/h2>\n                            <span class='gform_description'><\/span>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_54'  action='\/skagit\/wp-json\/wp\/v2\/pages\/30148' >\n                        <div class='gform_body gform-body'><div id='gform_fields_54' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_54_4\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_4\"><legend class='gfield_label gfield_label_before_complex'  >Name<\/legend><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_54_4'>\n                            \n                            <span id='input_54_4_3_container' class='name_first' >\n                                                    <input type='text' name='input_4.3' id='input_54_4_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_54_4_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_54_4_6_container' class='name_last' >\n                                                    <input type='text' name='input_4.6' id='input_54_4_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_54_4_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_54_5\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_5\"><label class='gfield_label' for='input_54_5' >Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_54_5' type='text' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_54_1\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_1\"><label class='gfield_label' for='input_54_1' >1.  What are the main sources of stress you encounter in your agricultural work?<\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_54_1' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_54_3\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_3\"><label class='gfield_label' for='input_54_3' >2. How do you cope with this stress?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_3' id='input_54_3' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_54_7\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_7\"><legend class='gfield_label'  >3.\tHow familiar are you with mental health resources available to farmers and farmworkers in Washington?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_54_7'>\n\t\t\t<div class='gchoice gchoice_54_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Very Familiar'  id='choice_54_7_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_54_7\"   \/>\n\t\t\t\t\t<label for='choice_54_7_0' id='label_54_7_0'>Very Familiar<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_54_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Somewhat familiar'  id='choice_54_7_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_54_7_1' id='label_54_7_1'>Somewhat familiar<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_54_7_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Vaguely familiar'  id='choice_54_7_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_54_7_2' id='label_54_7_2'>Vaguely familiar<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_54_7_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Not familiar'  id='choice_54_7_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_54_7_3' id='label_54_7_3'>Not familiar<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_54_7'>\n<\/div><\/fieldset><div id=\"field_54_8\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_8\"><label class='gfield_label' for='input_54_8' >4.\tWhat signs of mental distress or suicide risk do you feel are most common among farmers and farmworkers?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_8' id='input_54_8' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_54_9\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_9\"><label class='gfield_label' for='input_54_9' >5.\tHave you attended any local suicide prevention or mental health workshops or trainings?  If yes, what was most helpful?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_9' id='input_54_9' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_54_10\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_10\"><label class='gfield_label' for='input_54_10' >6.\tWhat are the biggest obstacles that prevent farmers from accessing mental health support?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_54_10' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_54_11\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_11\"><label class='gfield_label' for='input_54_11' >7.\tWhat would make it easier for you or others to reach out for support during times of high stress?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_54_11' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_54_14\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_14\"><legend class='gfield_label'  >8.\tWhere do you currently go for information or support regarding stress, mental health, or suicide prevention? 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Circle all that apply.<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_54_13'>\n\t\t\t<div class='gchoice gchoice_54_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Flyers'  id='choice_54_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_54_13_0' id='label_54_13_0'>Flyers<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_54_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Hotline cards'  id='choice_54_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_54_13_1' id='label_54_13_1'>Hotline cards<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_54_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Social Media'  id='choice_54_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_54_13_2' id='label_54_13_2'>Social Media<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_54_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Workshops'  id='choice_54_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_54_13_3' id='label_54_13_3'>Workshops<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_54_13_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='gf_other_choice'  id='choice_54_13_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_54_13_4' id='label_54_13_4'>Other<\/label><br \/><input id='input_54_13_other' name='input_13_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_54_12\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_12\"><label class='gfield_label' for='input_54_12' >10. \tHow could the WSU Extension program improve its resources or communication to better serve local farmers&#039; well-being?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_12' id='input_54_12' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_54' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_54\"]){return false;}  window[\"gf_submitting_54\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_54\"]){return false;} window[\"gf_submitting_54\"]=true;  jQuery(\"#gform_54\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_54' value='1' \/>\n            <input type='hidden' class='gform_hidden' 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menu-item-26660\"><a href=\"https:\/\/extension.wsu.edu\/skagit\/suicide-prevention\/\">Farm Stress<\/a><\/li>\n<li id=\"menu-item-26659\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26659\"><a href=\"https:\/\/extension.wsu.edu\/skagit\/free-therapy-voucher-program\/\">Free Therapy Voucher Program<\/a><\/li>\n<li id=\"menu-item-26686\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26686\"><a href=\"https:\/\/extension.wsu.edu\/skagit\/farm-stress-management\/\">Farm Stress Management<\/a><\/li>\n<li id=\"menu-item-26710\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26710\"><a href=\"https:\/\/extension.wsu.edu\/skagit\/coping-with-stress\/\">Coping With Stress<\/a><\/li>\n<li id=\"menu-item-26658\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26658\"><a href=\"https:\/\/extension.wsu.edu\/skagit\/agrabilityteam\/\">Our Team<\/a><\/li>\n<li id=\"menu-item-27533\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-27533\"><a href=\"https:\/\/extension.wsu.edu\/skagit\/register-for-the-farm-machinery-safety-work-shop\/\">Register for the Farm Machinery Safety Work Shop<\/a><\/li>\n<li id=\"menu-item-28519\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-28519\"><a href=\"https:\/\/extension.wsu.edu\/skagit\/skagit-county-agriculture-statistics-2024\/\">Skagit County Agriculture Statistics 2025<\/a><\/li>\n<li id=\"menu-item-30149\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-30149\"><a href=\"https:\/\/extension.wsu.edu\/skagit\/wsu-farm-stress-program-evaluation-questionnaire\/\">WSU Farm Stress Program Evaluation Questionnaire<\/a><\/li>\n<\/ul><\/div>\t\t<\/div>\n<\/nav>\n\n\n\n\n<div \n\tclass=\"wsu-people-list \"\n\tdata-component-id=\"c111f65f740f4b6bba5cff5c891ed2f0\"\n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\tdata-className=\"\"\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\tdata-count=\"6\"\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\tdata-page=\"1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\tdata-nid=\"c.kirchhoff, dmcmoran, cheryl.reese, dfredricks, madelyne.vanderkooy\"\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\tdata-classification=\"\"\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\tdata-university-category=\"\"\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\tdata-university-location=\"\"\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\tdata-university-organization=\"\"\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\tdata-tag=\"\"\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\tdata-profile-order=\"\"\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\tdata-display-fields=\"photo,name,title,office,email\"\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\tdata-focus-area-label=\"Focus 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