Inclusion Criteria:  Adult (19+) first responders and military personnel in Canada, USA, Oceana and Europe - Not restricted by restricted by sex, gender, or diagnoses. Respondents must be able to read and write in English to participate.  Exclusion Criteria:  Individuals who are not first responders, military personnel, or an aligned profession Individuals under the age of 19 Those who are not able to read and write in English