QPR Interest Form for Organizations

Question, Persuade, Refer (QPR) is an evidence-based training designed to train individuals to recognize the warning signs of a suicide crisis. In this training you will learn myths and facts about suicide, warning signs, and how to Question, Persuade, and Refer someone to appropriate professional help.

This 90-minute course is available for in-person or virtual trainings and it is appropriate for anyone 16 years or older.

Please complete this QPR interest form below, so United General can create a training that caters to your organizations needs.

Organization Name(Required)

Name(Required)

First Last

Email(Required)

Phone(Required)

Estimated number of participants to be trained(Required)

I am interested in the following format:(Required)

Virtually over Zoom

In-person

What days are convenient for your organization? (choose all that apply)(Required)

Weekdays (Monday-Friday)

Weekends (Saturday-Sunday)

I would like to request a specific date

What times are convenient for your organization? (check all that apply)(Required)

Mornings (before 12pm)

Afternoons (between 12pm and 5pm)

Evenings (after 5pm)

I would like to request a specific time