The Mental Health Initiative Committee is interested in finding out information about our Muslim community's mental health needs so that they can begin addressing those needs. Please take a few minutes to fill out the following ANONYMOUS survey. Please do not put any identifying information in your answers. The information shared in this survey will be used to inform programming to address our community's mental health needs. JazakAllah Khair for your time and for sharing.

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* 1. What are your mental health concerns? (Examples can include: loneliness, feeling sad a lot, anxiety, not sleeping well, sleeping too much, poor appetite, lack of concentration, feeling overwhelmed, difficult relationships, not being able to work or study or look after my home or children, addictions, anger, not feeling good about myself, past trauma, guilt, current abuse, identity concerns, sexual/intimacy concerns). 

If you do not have any mental health concerns at this time, please answer this question and the remainder of the questions based on the last time you had these concerns.

If you have never had any mental health concerns in your life so far, please answer "none" to this question, but please answer the rest of the questions stating what you would do IF these concerns were to come up for you in the future.

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* 2. Are you willing to get help for those concerns?

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* 3. Are your mental health needs being addressed?

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* 4. If not, what could be put in place to address those needs in the Muslim community?

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* 5. What mental health issues should the Mental Health Initiative focus on?

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* 6. What kind of person would you feel most comfortable talking with about these issues and concerns?

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* 7. If counselling services were offered in our community, would you use them?

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* 8. Would you come into the mosque to use counselling services?

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* 9. On a scale from 1 to 5 (where 1 is low and 5 is high), how valuable would counselling services be to you in addressing these mental health concerns/issues?

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