The Mendocino-ROC Emotional & Spiritual Support Committee is seeking your feedback to develop resources for emotional wellness for fire survivors. No identifying information will be gathered as part of this survey, all responses are anonymous. Thank you for taking the time to complete this short survey to help guide our work to support you in your recovery.

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* 1. Have you been receiving emotional or spiritual support since the fires?

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* 2. Do you need additional emotional or spiritual support?

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* 3. What does emotional or spiritual support look like to you?

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* 4. How often do you get the support you need?

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* 5. Would you be interested in participating in any of the following wellness activities:

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* 6. What wellness activities would you recommend?

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* 7. What wellness activities would you like to see made available?

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* 8. Have you received support from any of the following:

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* 9. Do you have friends/family in need of additional support?     

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* 10. Please share any additional comments or suggestions

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