Hill Country - Needs Assessment Survey

1.What is the zip code where you live?

2.Please select the option(s) that most closely apply to you.

I am a behavioral health client (current or past) with Hill Country or another agency

I am the parent, caregiver, friend, or family member of a behavioral health client (current or past) with Hill Country or another agency

I am a community member

In my work role, I provide services to people in the community

Other

If Other (please specify)

3.What is your gender?

Male

Female

Prefer not to say

4.What is your preferred language?

English

Spanish

Other

Other (please specify)

5.Are you a Veteran of the US Armed Forces?

Yes

No

Hill Country - Needs Assessment Survey - Shasta County 2026