BHSA CPPP: Community Feedback Survey

Your voice matters! TCBH invites community members of Tuolumne County of all ages, races, ethnicities, sexual orientation, gender identity, and religious or spiritual beliefs to take this survey so we can hear the mental health needs of the diverse populations within the community and create relevant programs.
Thank you for your participation.

Question Title

* 1. Answers to the following demographic questions will help us identify who is taking the survey on an aggregate level. Your individual responses will be kept confidential; however, we respect your right to decline to answer any or all of the questions.

What is your age?

Question Title

* 2. What gender do you identify as?

Question Title

* 3. What is your race?

Question Title

* 4. Are you a veteran?

Question Title

* 5. Choose as many options below that best describe you:

Question Title

* 6. In the past 12 months, how often has anxiety or stress affected your well-being?

Never Sometimes Constant
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 7. In the past 12 months, how often has depression or sadness affected your well-being?

Never Sometimes Constant
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 8. In the past 12 months, how often has trauma or discrimination-related stress affected your well-being?

Never Sometimes Constant
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 9. In the past 12 months, how often has loneliness or isolation affected your well-being?

Never Sometimes Constant
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 10. In the past 12 months, how often has family rejection or lack of support affected your well-being?

Never Sometimes Constant
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 11. What are the biggest barriers to receiving behavioral health care? (Select up to 3)

Question Title

* 12. Do you feel local behavioral health services are inclusive and culturally responsive?

Question Title

* 13. In the past 12 months, which of the following housing situations have you experienced? (Select all that apply)

Question Title

* 14. What do you believe are the greatest unmet needs related to substance use disorder (SUD) services in Tuolumne County? (Select all that apply)

Question Title

* 15. Please rank the community needs listed below from highest (1-most important) to lowest (5-least important) for Tuolumne County.

0 of 15 answered
 

T