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The purpose of this survey is to find out how rural community members feel about behavioral health. The results of this survey will be used to advise state- and local-level programming and policies regarding substance misuse and mental illness. 

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* 1. What is your county of residence

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* 2. What is your gender?

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* 3. Are you a member of the LGTBQ+ community?

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* 4. How old are you? 

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* 5. What is your race? Please check all that apply.

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* 6. What is your ethnicity? 

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* 7. If you or someone you care about was feeling a lot of stress, anxiety, depression, or experiencing a crisis or tragedy, would you know where to go for help? 

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* 8. If yes, where would you go for help? Please select all that apply.

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* 9. Do you feel enough support exists within your county to help people dealing with mental illness or emotional pain?

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* 10. Are you satisfied with the quality of the care or support?

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* 11. Do you feel that enough support exists within your county to assist those dealing with substance misuse? (For example, drinking too much, taking more pain medication than they should, using other people’s medications, using drugs, or any type of addiction to a substance.)

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* 12. What do you feel are the biggest factors keeping people from help? Please select all that apply. 

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* 13. Where do you believe the local and/or state government should focus its energy and money in support of those with longer-term distress, mental illness or substance misuse? Please select all that apply.

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* 14. Other suggestions or comments: 

0 of 14 answered
 

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