Gauge Your Mental Health with the Check In Survey

Thank you for taking the time to participate in the UCLA Depression Grand Challenge Check In Survey. This survey is being used to assess and monitor your current levels of depression & anxiety and determine your eligibility to participate in a number of research studies, including a 6-week internet-based cognitive-behavioral therapy (iCBT) program for depression and anxiety.

SURVEY PRIZES
Winter 2018 Prizes
  • Floor Seats to Spring Sing 2018 for you and a friend (1 Available)
  • $75 Ralphs Gift Cards awarded once a week (10 Available)
Spring 2018 Prizes
  • Round trip flight with Southwest Airlines* (1 Available)
  • $75 Ralphs Gift Cards awarded once a week (10 Available)

What is the Check In Survey?

We are offering registered UCLA students the opportunity to complete our Check In Survey at any time as a way to assess and monitor current levels of depression, anxiety, or other mood disorder symptoms. After students create an account through our secure, online system and consent to participate in the research study, students can then complete the Check In Survey, which can be retaken as often as every two weeks. Students can return to their online account to view individualized feedback for each completed survey, sign-up for additional research studies, or view information about campus behavioral health resources.

Who Can Participate?

If you are a registered UCLA student, you can complete the survey at any time upon signing consent and registering for an account. You can also come back and complete the survey again as long as you are registered as a student and you have not completed the Check In Survey within the past two weeks.

In order to take the Check In Survey, you must be:
  • Over 18 years of age
  • A current UCLA student
  • Fluent in English
  • Have access to the internet
How Do I Participate?

For more information about participation, view the Participant Information Sheet. You will be asked to create an account through our secure online system before completing the Check In Survey. You will be asked to provide your name, a valid phone number, and a valid email address. New user registration, consent, and the Check In Survey take approximately 20 minutes.

Participate for a Chance to Win!
Participate for a Chance to Win!

After completing the survey, you will be entered into weekly and quarterly raffles, with raffles occurring until June 15, 2018. Although you can return to complete the Check In Survey, you will not receive additional raffle entries. See the complete list of prizes under the “Survey Prizes” section of webpage.

*Roundtrip flight up to $500.

Participation in the study is not required in order to participate in the raffle. To enter the drawing without participating in the study, you must call (310) 825-2171 to enter the raffle. Your call must be received by June 3, 2018 to be entered in the final drawing. Winners will be randomly selected from all eligible entries received. Email notifications will be sent to all winners instructing them on where to collect their prize. Winners are required to present their student ID in order to claim their raffle prize. Odds of winning: ~1/5000 for grand prize raffles each quarter, & ~1/500 for weekly raffle prizes.

Confidentiality

Please note that participation in the Check In Survey will be used for research purposes only and will be strictly confidential. By participating in the Check In Survey, members of our research team may contact you about additional research studies for which you may be eligible. If any of your responses are potentially concerning (e.g., you are suicidal and have a plan to harm yourself), your information will be forwarded to our clinical team for confidential review. A clinician will contact you to determine if you have safety concerns that require immediate help. The information collected by the clinician will be transmitted to the research team for clinical purposes only, to assure proper care has been provided, and will not be used as part of the research study.

Who can I contact for more information?
Who can I contact for more information?

For more information about the Check In Survey, please feel free to contact the UCLA Depression Grand Challenge research team at DGCStudies@mednet.ucla.edu

What is the UCLA Depression Grand Challenge?
What is the UCLA Depression Grand Challenge?

The UCLA Grand Challenges initiative connects faculty, students and supporters from all disciplines to work together, adopting a holistic approach to solve critical issues. We bring passionate participants together to dream big and think grand about what we can achieve when we set our sights on common goals.

The Depression Grand Challenge is a groundbreaking, campus-wide initiative aimed at cutting the burden of depression in half by 2050. We are conducting a series of studies which will enable us to 1) identify the genetic, biological, cognitive, social, and environmental factors associated with depression and 2) implement an innovative treatment approach. Some of these studies will contribute to an unprecedented 100,000 person genetics study.