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* 1. Please enter your 5-digit ZIP code.

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* 2. Describe your primary connection to the community.

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.

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* 4. As a result of this Town Hall event, I am more aware of students’ experiences of mental health.

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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.

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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.

FUTURE ASSISTANCE

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* 7. In the future, I would be interested in learning more about the following topic(s):

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* 8. Other (Please specify):

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* 9. Please review and select your school district of residence

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