Survey on Crisis response for people with lived experience and their families

About You

Please tell us a little about yourself:

White

Black or African American

Latino/a/x

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Another race

Two or more races

Prefer not to answer

Other (please specify)

A person with a mental illness

A parent of a child under age 18 with a mental illness

A spouse, partner or parent of an adult with a mental illness

Another family member/caregiver of a person with mental illness

Prefer not to answer.

Other (please specify)

18-24

25-34

35-44

45-54

55-64

65+

Prefer not to answer

Other (please specify)