Help Advocate for Mental Health Funding Survey

Name(Required.)

City(Required.)

State(Required.)

Email Address(Required.)

Phone Number

Have you ever received help from the government to get housing? (Section-8, Housing First, PATH)

Yes (Please explain below how it has helped you in your life and helped with your or your loved one’s mental illness).

I don't know

Comments

Have you ever received community mental health services or supports?

Yes (Please explain below how it has helped you in your life and helped with your or your loved one’s mental illness).

I don't know

Comments

What do you value about research into mental health conditions?

Have you ever received help from an ACT (Assertive Community Treatment) team?

Yes (Please explain below how it has helped you in your life and helped with your or your loved one’s mental illness).

I don't know

Comments

Have you ever received help from a first episode psychosis (FEP) program?

Yes (Please explain below how it has helped you in your life and helped with your or your loved one’s mental illness).

I don't know

Comments

Have you ever received help in the form of Crisis Intervention Teams (CIT), a mental health court, jail diversion or re-entry program?

Yes (Please explain below how it has helped you in your life and helped with your or your loved one’s mental illness).

I don't know

Comments

Have you ever received help from crisis services?

Yes (Please explain below how it has helped you in your life and helped with your or your loved one’s mental illness).

I don't know

Comments

Have you ever received mental health services or supports from the VA (U.S. Department of Veterans Affairs)?

Yes (Please explain below how it has helped you in your life and helped with your or your loved one’s mental illness).

I don't know

Comments

If not mentioned above, please share your story about a program that helped you.

Are you willing to share your story?

Yes, with picture and name

Yes, anonymously

I don't know

Are you willing for NAMI to contact you about your story?

Yes

Maybe

Are you willing to let NAMI share your story with a partner organization?

Yes

Maybe

Are you willing to talk with the media?

Yes

Maybe