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CalMHSA Feedback Survey for Certified Medi-Cal Peer Support Specialists (Fall 2026)

Demographic Information

Each year, CalMHSA collects demographic information from Certified Medi-Cal Peer Support Specialists to help us understand the program’s reach and impact across diverse populations. We ask for your name and email address solely to identify and prevent duplicate responses. This identifying information is kept separate from demographic responses and is not included in our data analysis or reporting.
1.Full name of the Certified Medi-Cal Peer Support Specialist(Required.)
2.Please provide your email address(Required.)
3.Which age group do you belong to?(Required.)
4.What is your gender identity?(Required.)
5.Which California county do you reside in?(Required.)
6.What is your race and ethnicity?(Required.)
7.What is your highest education level completed?
8.Did you receive a scholarship/sponsorship to pay the application fee, exam fee or training fee?(Required.)
9.Which Certification pathway did you choose?(Required.)
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