VOCAL Network Survey 2010 1. Page 1 (of 2) Question Title * 1. What is your sex? Female Male Question Title * 2. What is your race? African-American Asian Hawaiian Latino Native American/Alaskan Other Pacific Islander White Question Title * 3. What is your age? 18-25 26-35 36-45 46-55 56-65 65 or older Question Title * 4. Are you familiar with the term "recovery" in reference to mental health treatment? Yes No (If no, go to question 6.) Question Title * 5. Where have you heard about mental health recovery? Please check all that apply. Private practitioner (psychiatrist, psychologist, therapist) Social Worker/Caseworker Community Services Board (CSB) Clubhouse Local support group State organization (e.g., NAMI, MHAV) VOCAL National organization (e.g., Schizophrenics Anonymous, DBSA) Internet Friend Other (please specify) Question Title * 6. Have you heard of VOCAL before participating in this survey? Yes No (if no, skip ahead to page 2, question 15) Question Title * 7. Where did you hear about VOCAL? Please check all that apply. Private practitioner CSB (Community Services Board) Clubhouse NAMI (National Alliance on Mental Illness) MHAV (Mental Health America of Virginia) Department of Behavioral Health and Developmental Services(DBHDS) Local support group Friend Internet Other (please specify) Question Title * 8. Are you a member of VOCAL? Yes No Question Title * 9. If you are a VOCAL member, how long have you been a member? Less than one year One year Two years Three years Four years Five years or more Question Title * 10. Have you visited VOCAL's website (www.vocalvirginia.org) in the last six months? Yes No Question Title * 11. Have you ever visited VOCAL's facebook page? Yes NO Question Title * 12. What resources have you learned about through VOCAL? Please check all that apply. REACH/WRAP Warm line VOCAL COOP CELT CSB information (like where yours is located, etc.) Peer-run programs State or regional information (like legislation or advocacy info.) Other mental health organizations Peer-connect or other regional peer organizations Support groups VOCAL conference Other (please specify) Question Title * 13. How helpful would you rate your membership in VOCAL in terms of aiding in and/or helping maintain your recovery? Please use the scale of 1 to 10. 1 - Not at all helpful 2 3 4 5 - Moderately helpful 6 7 8 9 10 - Extremely helpful Helpfulness of VOCAL in recovery Helpfulness of VOCAL in recovery 1 - Not at all helpful Helpfulness of VOCAL in recovery 2 Helpfulness of VOCAL in recovery 3 Helpfulness of VOCAL in recovery 4 Helpfulness of VOCAL in recovery 5 - Moderately helpful Helpfulness of VOCAL in recovery 6 Helpfulness of VOCAL in recovery 7 Helpfulness of VOCAL in recovery 8 Helpfulness of VOCAL in recovery 9 Helpfulness of VOCAL in recovery 10 - Extremely helpful Question Title * 14. How could VOCAL do a better job of supporting you in your recovery? Next