* 1. Which of the following categories best describes your employment status?

* 2. Which of the following best describes your current occupation?

* 3. We are interested in volunteer activities, for which people are not paid except perhaps expenses. In the past 12 months, did you do any volunteer activities for or through an organization?

* 4. Are you available to volunteer (non-paid positions) your professional services?

* 5. Are you a healthcare professional?

* 6. Are you willing to provide Mental Health Counseling to men or women in a Prison/Jail facility?

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