Union County Family Peer Support Pre-Survey

The Mosaic Project: Mental Health and Recovery Board of Union County

Family peer support services in Union County provided by Wings Support & Recovery and Council for Union County Families are funded by the Mental Health and Recovery Board of Union County. We are thrilled to offer this service to families at no cost. Understanding how this service helps your family and your child will allow us to continue funding and providing this service. Thank you for taking the time to complete this survey.

Question Title

* 1. Please enter the family identifier given to you by your provider. This should be a letter and a number. (examples: W1 or C4)

Question Title

* 2. My family effectively communicates with each other

Extremely true

Very true

Somewhat true

Not so true

Not at all true

Question Title

* 3. My family can cope when things go wrong

Extremely true

Very true

Somewhat true

Not so true

Not at all true

Question Title

* 4. My family understands our child's needs

Extremely true

Very true

Somewhat true

Not very true

Not at all true

Question Title

* 5. My family advocates for our child

Extremely true

Very true

Somewhat true

Not so true

Not at all true

Question Title

* 6. My family can access the services we need

Extremely true

Very true

Somewhat true

Not so true

Not at all true

Question Title

* 7. What other services have you tried for your child? (Select all that apply)

Individual or family therapy

Case Management, Care Coordination, or Service Coordination

Wraparound

Special education services

Medication management

Services provided by child welfare

Services provided by juvenile court

Hospitalization or inpatient care

Other

None of the above