Consumer1
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1
. Do you feel that mental health and addiction services are adequate in your area?
Do you feel that mental health and addiction services are adequate in your area?
YES
NO
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2
. Rate the quality of life you are able to have in your area with your mental health / addictions challenges.
Rate the quality of life you are able to have in your area with your mental health / addictions challenges.
Excellent
Good
Fair
Poor
3
. Do you feel that you have suitable voices in the mental health/ addictions systems and your treatment/ recovery?
Do you feel that you have suitable voices in the mental health/ addictions systems and your treatment/ recovery?
YES
NO
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4
. What services do you feel in your area are lacking?
What services do you feel in your area are lacking?
Doctors
Peers
Councilors
Info
Housing
Life Skills
Relationship programs
Financial
Family supports
Transportation
Employment
Other
(Social activities)
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5
. Are wait times for services acceptable?
Are wait times for services acceptable?
Excellent
Good
Fair
Poor
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6
. What services or programs will best serve your needs?
What services or programs will best serve your needs?
Counseling
1 on 1
Groups
Workshops
Family supports
recreational programs
7
. Are you currently employed or actively looking for employment?
Are you currently employed or actively looking for employment?
YES
NO
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8
. Are you currently dealing with:
Are you currently dealing with:
Mental health
Addictions
Concurrent disorders, both
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9
. What supports are you currently receiving:
What supports are you currently receiving:
Counseling
1 on 1
Groups
Workshops
Family supports
recreational programs
Life Skills
Housing
Relationship programs
Financial
Transportation
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10
. Has your mental Health or Addiction lead to the need for a ER visit in the past:
Has your mental Health or Addiction lead to the need for a ER visit in the past:
6 months
1 year
3 Years
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