* 1. Thank you for taking this brief and confidential survey.  Its purpose is to help select a name for a new Fairfax County initiative.  Currently called the Fairfax County Children’s Behavioral Health System of Care, the initiative coordinates a full range of mental health and substance abuse services for children, youth and young adults across multiple county agencies, the school system and private treatment providers. The goals of the initiative are to help children, youth and families in our community access needed mental health services, and to improve the quality of those services.

* 2. We want to find a name for the initiative that is more user friendly than “Children’s Behavioral Health System of Care” and would like feedback on two options.  Your response to this brief survey would be very helpful.

Option 1:
Name:                  Healthy Minds Fairfax
Tagline:                Supporting Emotional Wellness in Youth and Families

Option 2:            
Name:                  Youth Behavioral Health
Tagline:                Supporting Emotional Wellness

* 3. In regards to the two options above:

  Positive Neutral Negative
1). What is your reaction to the name Healthy Minds Fairfax?
2). What is your reaction to the name Youth Behavioral Health?
3). What is your reaction to the tagline Supporting Emotional Wellness in Youth and Families?
4). What is your reaction to the tagline Supporting Emotional Wellness?

* 4. How do you regularly access information online? Please check all that apply.

* 5. How old are you?

* 6. Do you have any other feedback on names, taglines or anything else relating to this initiative?

* 7. THANKS FOR YOUR FEEDBACK!

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