Sudbury 0-25 Eng Sept 14 to Oct 12 Survey

We are so excited to welcome you to PLEO’s Virtual Parent Support Groups for parents of children to age 25 facing mental health, behavioral, or addiction challenges.

Your 5-week session will start on Tuesday September 14 from 7 to 8:30 pm and run weekly on the same day and time until October 12th.

Please complete the information below and we will be in touch with everything you need to join us.

Information collected from parents is kept strictly confidential. PLEO recognizes the trust that respondents place in us to protect their information and your privacy. This survey ensures that the information you provide will be kept confidential and will be used only for statistical purposes.

	Extremely	Very	Moderately	Slightly	Not at all	Not applicable
Finding mental health / addiction services for your child	Finding mental health / addiction services for your child Extremely	Finding mental health / addiction services for your child Very	Finding mental health / addiction services for your child Moderately	Finding mental health / addiction services for your child Slightly	Finding mental health / addiction services for your child Not at all	Finding mental health / addiction services for your child Not applicable
Being on wait-lists for mental health / addiction services	Being on wait-lists for mental health / addiction services Extremely	Being on wait-lists for mental health / addiction services Very	Being on wait-lists for mental health / addiction services Moderately	Being on wait-lists for mental health / addiction services Slightly	Being on wait-lists for mental health / addiction services Not at all	Being on wait-lists for mental health / addiction services Not applicable
Getting the right educational supports / options for your child	Getting the right educational supports / options for your child Extremely	Getting the right educational supports / options for your child Very	Getting the right educational supports / options for your child Moderately	Getting the right educational supports / options for your child Slightly	Getting the right educational supports / options for your child Not at all	Getting the right educational supports / options for your child Not applicable
Being involved as much as you would like in your child's treatment	Being involved as much as you would like in your child's treatment Extremely	Being involved as much as you would like in your child's treatment Very	Being involved as much as you would like in your child's treatment Moderately	Being involved as much as you would like in your child's treatment Slightly	Being involved as much as you would like in your child's treatment Not at all	Being involved as much as you would like in your child's treatment Not applicable
Having other people in your life understand your situation	Having other people in your life understand your situation Extremely	Having other people in your life understand your situation Very	Having other people in your life understand your situation Moderately	Having other people in your life understand your situation Slightly	Having other people in your life understand your situation Not at all	Having other people in your life understand your situation Not applicable
Understanding your child's situation	Understanding your child's situation Extremely	Understanding your child's situation Very	Understanding your child's situation Moderately	Understanding your child's situation Slightly	Understanding your child's situation Not at all	Understanding your child's situation Not applicable
Supporting your other family members	Supporting your other family members Extremely	Supporting your other family members Very	Supporting your other family members Moderately	Supporting your other family members Slightly	Supporting your other family members Not at all	Supporting your other family members Not applicable
Financial pressures associated with your child's situation	Financial pressures associated with your child's situation Extremely	Financial pressures associated with your child's situation Very	Financial pressures associated with your child's situation Moderately	Financial pressures associated with your child's situation Slightly	Financial pressures associated with your child's situation Not at all	Financial pressures associated with your child's situation Not applicable
Stigma and judgement from others	Stigma and judgement from others Extremely	Stigma and judgement from others Very	Stigma and judgement from others Moderately	Stigma and judgement from others Slightly	Stigma and judgement from others Not at all	Stigma and judgement from others Not applicable
Being able to cope and care for yourself	Being able to cope and care for yourself Extremely	Being able to cope and care for yourself Very	Being able to cope and care for yourself Moderately	Being able to cope and care for yourself Slightly	Being able to cope and care for yourself Not at all	Being able to cope and care for yourself Not applicable
Worrying about the future	Worrying about the future Extremely	Worrying about the future Very	Worrying about the future Moderately	Worrying about the future Slightly	Worrying about the future Not at all	Worrying about the future Not applicable
Managing crisis situations	Managing crisis situations Extremely	Managing crisis situations Very	Managing crisis situations Moderately	Managing crisis situations Slightly	Managing crisis situations Not at all	Managing crisis situations Not applicable

Extremely

Very

Moderately

Slightly

Not at all

Not applicable

Finding mental health / addiction services for your child

Finding mental health / addiction services for your child Extremely

Finding mental health / addiction services for your child Very

Finding mental health / addiction services for your child Moderately

Finding mental health / addiction services for your child Slightly

Finding mental health / addiction services for your child Not at all

Finding mental health / addiction services for your child Not applicable

Being on wait-lists for mental health / addiction services

Being on wait-lists for mental health / addiction services Extremely

Being on wait-lists for mental health / addiction services Very

Being on wait-lists for mental health / addiction services Moderately

Being on wait-lists for mental health / addiction services Slightly

Being on wait-lists for mental health / addiction services Not at all

Being on wait-lists for mental health / addiction services Not applicable

Getting the right educational supports / options for your child

Getting the right educational supports / options for your child Extremely

Getting the right educational supports / options for your child Very

Getting the right educational supports / options for your child Moderately

Getting the right educational supports / options for your child Slightly

Getting the right educational supports / options for your child Not at all

Getting the right educational supports / options for your child Not applicable

Being involved as much as you would like in your child's treatment

Being involved as much as you would like in your child's treatment Extremely

Being involved as much as you would like in your child's treatment Very

Being involved as much as you would like in your child's treatment Moderately

Being involved as much as you would like in your child's treatment Slightly

Being involved as much as you would like in your child's treatment Not at all

Being involved as much as you would like in your child's treatment Not applicable

Having other people in your life understand your situation

Having other people in your life understand your situation Extremely

Having other people in your life understand your situation Very

Having other people in your life understand your situation Moderately

Having other people in your life understand your situation Slightly

Having other people in your life understand your situation Not at all

Having other people in your life understand your situation Not applicable

Understanding your child's situation

Understanding your child's situation Extremely

Understanding your child's situation Very

Understanding your child's situation Moderately

Understanding your child's situation Slightly

Understanding your child's situation Not at all

Understanding your child's situation Not applicable

Supporting your other family members

Supporting your other family members Extremely

Supporting your other family members Very

Supporting your other family members Moderately

Supporting your other family members Slightly

Supporting your other family members Not at all

Supporting your other family members Not applicable

Financial pressures associated with your child's situation

Financial pressures associated with your child's situation Extremely

Financial pressures associated with your child's situation Very

Financial pressures associated with your child's situation Moderately

Financial pressures associated with your child's situation Slightly

Financial pressures associated with your child's situation Not at all

Financial pressures associated with your child's situation Not applicable

Stigma and judgement from others

Stigma and judgement from others Extremely

Stigma and judgement from others Very

Stigma and judgement from others Moderately

Stigma and judgement from others Slightly

Stigma and judgement from others Not at all

Stigma and judgement from others Not applicable

Being able to cope and care for yourself

Being able to cope and care for yourself Extremely

Being able to cope and care for yourself Very

Being able to cope and care for yourself Moderately

Being able to cope and care for yourself Slightly

Being able to cope and care for yourself Not at all

Being able to cope and care for yourself Not applicable

Worrying about the future

Worrying about the future Extremely

Worrying about the future Very

Worrying about the future Moderately

Worrying about the future Slightly

Worrying about the future Not at all

Worrying about the future Not applicable

Managing crisis situations

Managing crisis situations Extremely

Managing crisis situations Very

Managing crisis situations Moderately

Managing crisis situations Slightly

Managing crisis situations Not at all

Managing crisis situations Not applicable

Sudbury 0-25 Eng Sept 14 to Oct 12

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* First Name and Last Initial

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* Phone Number

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* Email

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* What is the best way to contact you?

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* In what city do you live?

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* What school board does your child attend?

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* What is your primary language?

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* Level of experience using Zoom Video Conferencing

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* What is/are the age(s) of your child(ren) of primary concern?

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* Is your child(ren) experiencing:

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* What are your concerns regarding your child?

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* As an organization, we strive to represent the voice of all families. Please help us by rating how challenging you find each of the following:

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* What do you hope to get out of the support group?

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* How did you hear about this PLEO support group?

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* Are there any additional comments you would like to share with us?