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Orange County Youth Town Hall Survey
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1.
Please enter your 5-digit ZIP code.
(Required.)
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2.
Describe your primary connection to the community.
(Required.)
Advocate
Parent/Guardian/Family Member
Community Member
Community Agency/HCA Partner
Student
Teacher
Counselor
Principal
Nurse
Administrator
School-based partner organization
Other
INCREASE IN KNOWLEDGE OF MENTAL HEALTH
Please rate knowledge on the following (5=Strongly Agree, 4=Agree, 3=Neither Agree nor Disagree, 2=Disagree, 1=Strongly Disagree)
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3.
As a result of this Town Hall event, I am more knowledgeable about mental health services and supports in the community.
(Required.)
5 - Strongly agree
4 - Agree
3 - Neither Agree nor Disagree
2 - Disagree
1 - Strongly disagree
N/A
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4.
As a result of this Town Hall event, I am more aware of students’ experiences of mental health.
(Required.)
5 - Strongly agree
4 - Agree
3 - Neither Agree nor Disagree
2 - Disagree
1 - Strongly Disagree
N/A
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5.
As a result of this Town Hall event, I am more aware of what the Orange County community is doing to support youth mental health.
(Required.)
5 - Strongly agree
4 - Agree
3 - Neither Agree nor Disagree
2 - Disagree
1 - Strongly Disagree
N/A
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6.
As a result of this Town Hall, I think that the Orange County community should put a greater emphasis on mental health services and supports for youth.
(Required.)
5 - Strongly agree
4 - Agree
3 - Neither Agree nor Disagree
2 - Disagree
1 - Strongly Disagree
N/A
FUTURE ASSISTANCE
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7.
In the future, I would be interested in learning more about the following topic(s):
(Required.)
8.
Other (Please specify):
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9.
Please review and select your school district of residence
(Required.)
Anaheim Elementary Unified School District
Anaheim Union High School District
Brea-Olinda Unified School District
Buena Park Elementary Unified School District
Capistrano Unified School District
Centralia Elementary School District
Cypress Elementary School District
Fountain Valley Elementary School District
Fullerton Elementary School District
Fullerton Joint Union High School District
Garden Grove Unified School District
Huntington Beach City Elementary School District
Huntington Beach Union High Union High School District
Irvine Unified School District
La Habra City Elementary School District
Laguna Beach Unified School District
Los Alamitos Unified School District
Magnolia Elementary School District
Newport-Mesa Unified School District
Ocean View Unified School District
Orange Unified School District
Placentia-Yorba Linda Unified
Saddleback Valley Unified School District
Santa Ana Unified School District
Savanna Elementary School District
Tustin Unified School District
Westminster Unified School District
Charter District