1.In your opinion, what are the most urgent behavioral health (mental health + substance use) needs in our community?

2.Which groups do you believe need the most support?

Veterans

Unhoused individuals

Children and youth

Elders

Adults with disabilities

Justice - involved individuals

Other (please specify)

3.What has worked well in our region when it comes to mental health and substance use services?

4.What barriers or gaps do you feel exist in our region? If you are comfortable sharing, please note if you or someone you know have been impacted by these gaps.

5.If you shared a story, how would you like it to be used?

Please keep it private

I’m okay with it being shared publicly (anonymously)

I’m okay with it being shared publicly with my name

6.Are there any programs, services, or organizations you believe we should reach out to for input or possible collaboration?

7.Do you have suggestions for solutions, services, or types of facilities that should be prioritized?

8.What kinds of updates would you hope to receive as this initiative moves forward and what platforms do you utilize most? (social media, email, etc.)

9.Do you have any questions for the team leading this initiative?

10.Would you like to stay updated on this initiative?

Yes

No

11.Please provide your name and email:

Name

Company

ZIP/Postal Code

Email Address