Please complete this 10-question anonymous survey to helps us improve our services and reach more girls.

At then end of the survey, you will have an opportunity to enter your contact information for a $50 Amazon gift card (drawings will be held quarterly).

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1. Which range best describes your age? (Required.)

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2. The following is a list of items which are contained in ALL boxes.

Which items did you like the most?
... you can select up to 5 items (Required.)

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3. Please indicate your level of satisfaction with the items which MAY have been contained in your box. (Required.)

  Very Dissatisfied Dissatisfied Satisfied Highly Satisfied Not Received
Menstrual Kit
Your New Best Friend Journal
Happy Face Yellow Plush Ball
HigherDOSE Serotonin Soak
MH Boxes Plush Ball
Keys Soulcare by Alicia Keys Let Me Glow Serum
Project Glimmer Makeup Kit
Emotional Support Fries
Lavender Smellease
Mental Health Workbook
Field Notes Notebook

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4. How likely is it that you would recommend MH Boxes to a friend or colleague? (Required.)

Not at all likely
Extremely likely

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5. What are 1-3 things you liked best about the box of items? (Required.)

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6. What are 1-3 things you need to better support your mental health? (Required.)

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7. Please indicate your level of agreement with the following statements. (Required.)

  Strongly Disagree Disagree Agree Strongly Agree N/A
I talk about mental health with my peers.
I talk about mental health with my parents.
This box make me feel comfortable to talk about mental health.

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8. Are you interested in sharing your mental health story?

No pressure, but should you want to share something, please use this space to do so.

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9. Do you have any other comments or feedback for us?

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10. MH Boxes is part of the You Glow Girl Network, a collaborative group of organizations working together to support girls and youth in our community.

To help us better understand how young people engage across programs in our network, we are asking a few questions about your participation with the organizations listed below.

Please select one option per organization that best describes your experience.

For each organization listed below, please indicate your level of participation. (Required.)

  Currently Participating Participated in the Last 12 Months Participated More Than 12 Months Ago Never Participated but Interested in Learning More Never Participated and Not Interested at This Time
MH Boxes
Voices for Virginia’s Children
Communities in Schools Petersburg
Girls on the Run
Girls For A Change
Real Girlz
Girls 2 Women
Pretty Purposed

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11. (OPTIONAL) If you would like to be entered in a drawing for an Amazon gift card, please enter your information below.

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