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Mental Health Matters Group Session Pre-survey

A serene and inviting mental health support group setting, featuring diverse individuals engaged in conversation, surrounded by calming colors and natural light.

Mental Health Matters Pre-survey

Welcome to the Mental Health Matters Group Session Pre-survey! This quiz is designed to better understand your mental health needs and challenges. By sharing this information, you can help us create a supportive environment for everyone involved.

Please take a moment to answer these questions honestly. Your responses will remain confidential and will be used to improve our group sessions.

Assess your mental health
Identify challenges
Share your availability for sessions

11 Questions3 MinutesCreated by HealingHeart245

Date of Birth?

Gender?

Race?

White/Caucasian

Black/African American

Hispanic

Native American

Asian

Other

Overall how would you rate your mental health?

Excellent

Very Good

Good

Fair

Poor

What are some mental health challenges you're faced with? (Feel free to put N/A if needed)

How often do these challenges come about?

N/a

Rarely

Often

Very often

During the past two week how often has your mental health interfered with your relationships?

Extremely often

Very often

Not so often

Not at all

Do you have someone you can talk to when the challenges occur?

Yes

Sometimes

How likely are you to speak to people you're comfortable with about any challenges you may face?

Very likely

Likely

Maybe

Not Likely

Not at all

What dates and time would you be available to meet for a mental wellness group session?

Did you have anything you would like to add about yourself?

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