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Frontline Mental Health Advocacy
We're here to help!
Our aim is to increase mental health awareness and reduce stigma in Coney Island. Fill out this questionnaire for better mental health.
1.
What is your racial or ethnic identification? (Mark all that apply)
American Indian, Native American, or Alaskan Native
Asian American or Pacific Islander
Black/African American
Hispanic, Latino, or Spanish
White
2.
How old are you?
Under 18
18-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65 and over
3.
What is your gender identity?
Female
Male
Transgender Female
Transgender Male
Gender Variant/Non-conforming
Prefer not to answer
Other (please specify)
4.
Are you a barbershop/salon owner or customer?
Barbershop Owner
Salon Owner
Customer
5.
Is your business certified as Minority (MBE) or WBE (Women-Owned) or MWBE (Minority/Women Business Enterprise) with the New York City Small Business Services Dept?
Yes
No
6.
If no, do you wish to learn more information on how to be MBE/MWBE certified?
Yes
No
