Mental Health Strong - New Partner Form

Welcome and So Glad You Are Here!

This brief survey is to help us understand more about you as a potential future partner. Thank you again for your valuable input so we can work together to provide hope, resources and support to marriages with mental health and addiction challenges. We look forward to partnering with you!

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* 1. What type of partner are you?

Non-Profit Organization

Corporate Organization

Health Care Professional Organization

Government Organization

Family / Foundation Organization

Church Organization

Not a part of an organization, but a spouse in a marriage with a mental health or addiction challenge

Other (please specify)

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* 2. What is the name of the organization you are with?

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* 3. Your Name

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* 4. Your Email

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* 5. Best Contact Number

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* 6. What are your organization's preferred social media handles?

Facebook

Instagram

Twitter

Website

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* 7. Why would you like to partner with Mental Health Strong?

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* 8. How would you like to partner with Mental Health Strong?

Sponsor an attendee at a conference or a retreat

Share resource on websites and other means

Donate toward the cause of marriage and mental health

Sponsor a walk or other event

Partner with other leaders

Network and advocacy

Provide speaking and promotional opportunities

Be a part of the prayer team

Be a part of the spouse peer support group

Be a part of the couples peer support group

Facilitate a MHS peer-led support group

Fundraise for get-well jobs program

Help with research opportunities

Help with grant submission or fundraising

Other (please specify)

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* 9. How did you hear about Mental Health Strong?

Mental Health Strong Communication

Through Fresh Hope

Through Change My Relationships

Through the Marriage & Mental Health Podcast

Through Blessed Mind

NAMI

Social Media

Erin or Keith Ramachandran

Referral

Therapist

MeetUp Group

Other (please specify)

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* 10. Any questions or comments that we can provide additional information about. Thank you in advance for filling this out and we look forward to connecting with you.