Red Deer County FCSS - Mental Health Check-In

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* 1. First name:

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* 2. Last name (optional):

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* 3. Please select the community you live in or closest to. If you do not reside near any of these options, please select 'Other Red Deer County'.

Benalto

Spruce View

Springbrook

Delburne

Elnora

Bowden

Other Red Deer County

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* 4. What kind of mental health supports do you feel residents need the most right now in your community? Please select all that apply.

Help dealing with stress

Help dealing with anxiety

Feelings of isolation and loneliness

Other (please specify)

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* 5. Do you self-identify as someone needing support in your community?

Yes

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* 6. If yes, would you like your local FCSS worker to contact you to share resources and information that you may find helpful?

Yes

If yes, please provide your email address or phone number.

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* 7. Do you self-identify as a Natural Supporter in your community (someone people often turn to for advice, support, information)?

Yes

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* 8. If yes, would you be interested in some free training?

Yes

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* 9. If you would like free training, please provide your mailing address, email and/or phone number.

Thank you for taking the time to do a quick Mental Health Check-In! Your responses will help us to identify what supports are needed the most in your community, and allow us to better help you. For additional information, referrals or resources, please contact Red Deer County FCSS at 403.350.2150 or e-mail communityservices@rdcounty.ca.