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* 1. Personal Information

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* 2. Gender:

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* 3. Age:

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* 4. Number of Children in Household:

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* 5. Has your child or children ever experienced a mental health issue?

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* 6. What supports did you seek for help with your child’s mental health issue? (check all that apply)

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* 7. Has your child or children received a diagnosis from a mental health professional?

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* 8. Can you identify any training topics regarding children and youth mental health issues that would be beneficial to parents? Please list.

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* 9. What resources would you suggest be available for parent’s self-care?

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* 10. Do you have any suggestions on how children’s wellbeing can be supported?

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* 11. What suggestions do you have regarding how to better support parents with their child’s mental health and well-being?

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