Exit
Carlton County Public Health and Human Services believes that providing support for the mental health and well-being needs of county residents during the COVID-19 pandemic is just as important as providing support for their physical health needs. 

The information you provide in this brief survey will be combined with all other respondents to help us understand better the mental health needs of the community during this time and plan with our elected officials and local partners to effectively address the community's mental health needs related to the COVID-19 pandemic.
Demographic information is only collected to help Carlton County Public Health and Human Services better understand the balance of responses from across the county, and  will not be used to identify any individuals.

Question Title

* What Zip Code do you live in?

Question Title

* What is your age?

Question Title

* 1. Since the start of the COVID-19 pandemic (March 1, 2020)...How often have you gotten the social and emotional support you need?

Question Title

* 1a. If you answered Sometimes, Usually, or Always to Question 1, please indicate the sources of your support (choose all that apply):

Question Title

* 1b. If you answered Rarely or Never to Question 1, please indicate the barriers to receiving this type of support (choose all that apply):

Question Title

* 2. Since the start of the COVID-19 pandemic (March 1, 2020)...I have felt increased stress about (choose all that apply):

Question Title

* 3. Thinking about your mental health (which includes stress, depression, and problems with emotions), for how many days during the past month (30 days) was your mental health not good?

Question Title

* 4. Agree or Disagree: I know how to access professional mental health support for me or my family when needed.

Question Title

* 4a. If you answered Disagree or Strongly Disagree to Question 4, in what ways would you like to learn more about professional mental health support (choose all that apply)?

Question Title

* 5. Agree or Disagree: I currently have access to reliable internet and equipment (computer, tablet, smartphone, etc.) that I could use to virtually attend mental health and other appointments if needed.

Question Title

* 5a. If you answered Strongly Disagree or Disagree to Question 5, please indicate the barrier to accessing these appointments (choose all that apply).

Question Title

* Please add any additional comments here:

Thank you for your participation!

T