Mental Health Awareness Pre-Survey

This is a completely anonymous and confidential survey conducted by the Iowa Healthiest State Initiative about knowledge of and attitudes around mental health. Please answer the following questions as honestly as you can. There are no right or wrong answers.

	No impact	Some impact	Moderate impact	Large impact	Very large impact
Relationships	Relationships No impact	Relationships Some impact	Relationships Moderate impact	Relationships Large impact	Relationships Very large impact
Finances	Finances No impact	Finances Some impact	Finances Moderate impact	Finances Large impact	Finances Very large impact
Community	Community No impact	Community Some impact	Community Moderate impact	Community Large impact	Community Very large impact
Sense of meaning and purpose in daily life	Sense of meaning and purpose in daily life No impact	Sense of meaning and purpose in daily life Some impact	Sense of meaning and purpose in daily life Moderate impact	Sense of meaning and purpose in daily life Large impact	Sense of meaning and purpose in daily life Very large impact
Main job or daily activities	Main job or daily activities No impact	Main job or daily activities Some impact	Main job or daily activities Moderate impact	Main job or daily activities Large impact	Main job or daily activities Very large impact
Emotional and mental health	Emotional and mental health No impact	Emotional and mental health Some impact	Emotional and mental health Moderate impact	Emotional and mental health Large impact	Emotional and mental health Very large impact
Physical health	Physical health No impact	Physical health Some impact	Physical health Moderate impact	Physical health Large impact	Physical health Very large impact

No impact

Some impact

Moderate impact

Large impact

Very large impact

Relationships

Relationships No impact

Relationships Some impact

Relationships Moderate impact

Relationships Large impact

Relationships Very large impact

Finances

Finances No impact

Finances Some impact

Finances Moderate impact

Finances Large impact

Finances Very large impact

Community

Community No impact

Community Some impact

Community Moderate impact

Community Large impact

Community Very large impact

Sense of meaning and purpose in daily life

Sense of meaning and purpose in daily life No impact

Sense of meaning and purpose in daily life Some impact

Sense of meaning and purpose in daily life Moderate impact

Sense of meaning and purpose in daily life Large impact

Sense of meaning and purpose in daily life Very large impact

Main job or daily activities

Main job or daily activities No impact

Main job or daily activities Some impact

Main job or daily activities Moderate impact

Main job or daily activities Large impact

Main job or daily activities Very large impact

Emotional and mental health

Emotional and mental health No impact

Emotional and mental health Some impact

Emotional and mental health Moderate impact

Emotional and mental health Large impact

Emotional and mental health Very large impact

Physical health

Physical health No impact

Physical health Some impact

Physical health Moderate impact

Physical health Large impact

Physical health Very large impact

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
I would be reluctant to seek help	I would be reluctant to seek help Strongly agree	I would be reluctant to seek help Agree	I would be reluctant to seek help Neutral	I would be reluctant to seek help Disagree	I would be reluctant to seek help Strongly disagree
I would tell my friends	I would tell my friends Strongly agree	I would tell my friends Agree	I would tell my friends Neutral	I would tell my friends Disagree	I would tell my friends Strongly disagree
I would see myself as weak	I would see myself as weak Strongly agree	I would see myself as weak Agree	I would see myself as weak Neutral	I would see myself as weak Disagree	I would see myself as weak Strongly disagree

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

I would be reluctant to seek help

I would be reluctant to seek help Strongly agree

I would be reluctant to seek help Agree

I would be reluctant to seek help Neutral

I would be reluctant to seek help Disagree

I would be reluctant to seek help Strongly disagree

I would tell my friends

I would tell my friends Strongly agree

I would tell my friends Agree

I would tell my friends Neutral

I would tell my friends Disagree

I would tell my friends Strongly disagree

I would see myself as weak

I would see myself as weak Strongly agree

I would see myself as weak Agree

I would see myself as weak Neutral

I would see myself as weak Disagree

I would see myself as weak Strongly disagree

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
People with mental illness do not try hard enough to get better	People with mental illness do not try hard enough to get better Strongly agree	People with mental illness do not try hard enough to get better Agree	People with mental illness do not try hard enough to get better Neutral	People with mental illness do not try hard enough to get better Disagree	People with mental illness do not try hard enough to get better Strongly disagree
I am more comfortable helping a person who has a physical illness than I am helping a person who has a mental illness	I am more comfortable helping a person who has a physical illness than I am helping a person who has a mental illness Strongly agree	I am more comfortable helping a person who has a physical illness than I am helping a person who has a mental illness Agree	I am more comfortable helping a person who has a physical illness than I am helping a person who has a mental illness Neutral	I am more comfortable helping a person who has a physical illness than I am helping a person who has a mental illness Disagree	I am more comfortable helping a person who has a physical illness than I am helping a person who has a mental illness Strongly disagree
People are generally caring and sympathetic to people with mental illness	People are generally caring and sympathetic to people with mental illness Strongly agree	People are generally caring and sympathetic to people with mental illness Agree	People are generally caring and sympathetic to people with mental illness Neutral	People are generally caring and sympathetic to people with mental illness Disagree	People are generally caring and sympathetic to people with mental illness Strongly disagree
There are negative impressions, stereotypes or stigma about mental illness in my community	There are negative impressions, stereotypes or stigma about mental illness in my community Strongly agree	There are negative impressions, stereotypes or stigma about mental illness in my community Agree	There are negative impressions, stereotypes or stigma about mental illness in my community Neutral	There are negative impressions, stereotypes or stigma about mental illness in my community Disagree	There are negative impressions, stereotypes or stigma about mental illness in my community Strongly disagree

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

People with mental illness do not try hard enough to get better

People with mental illness do not try hard enough to get better Strongly agree

People with mental illness do not try hard enough to get better Agree

People with mental illness do not try hard enough to get better Neutral

People with mental illness do not try hard enough to get better Disagree

People with mental illness do not try hard enough to get better Strongly disagree

I am more comfortable helping a person who has a physical illness than I am helping a person who has a mental illness

I am more comfortable helping a person who has a physical illness than I am helping a person who has a mental illness Strongly agree

I am more comfortable helping a person who has a physical illness than I am helping a person who has a mental illness Agree

I am more comfortable helping a person who has a physical illness than I am helping a person who has a mental illness Neutral

I am more comfortable helping a person who has a physical illness than I am helping a person who has a mental illness Disagree

I am more comfortable helping a person who has a physical illness than I am helping a person who has a mental illness Strongly disagree

People are generally caring and sympathetic to people with mental illness

People are generally caring and sympathetic to people with mental illness Strongly agree

People are generally caring and sympathetic to people with mental illness Agree

People are generally caring and sympathetic to people with mental illness Neutral

People are generally caring and sympathetic to people with mental illness Disagree

People are generally caring and sympathetic to people with mental illness Strongly disagree

There are negative impressions, stereotypes or stigma about mental illness in my community

There are negative impressions, stereotypes or stigma about mental illness in my community Strongly agree

There are negative impressions, stereotypes or stigma about mental illness in my community Agree

There are negative impressions, stereotypes or stigma about mental illness in my community Neutral

There are negative impressions, stereotypes or stigma about mental illness in my community Disagree

There are negative impressions, stereotypes or stigma about mental illness in my community Strongly disagree

Mental Health Awareness Pre-Survey

Question Title

* 1. The following is a list of factors that may impact a person's overall health and well-being. In general, how much of an impact do you think each of these has?

Question Title

* 2. Do you have a close friend or family member with mental illness?

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* 3. How comfortable are you talking with someone about their mental illness?

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* 4. Please answer the following questions as though you had a mental illness, whether or not you do. To what extent do you agree or disagree with the following statements.

If I thought I had a mental illness...

Question Title

* 5. How much do you agree or disagree with the following statements?

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* 6. Are you aware of any programs or campaigns in your community that help raise awareness about mental illness?

Mental Health Awareness Pre-Survey

Question Title

* 1. The following is a list of factors that may impact a person's overall health and well-being. In general, how much of an impact do you think each of these has?

Question Title

* 2. Do you have a close friend or family member with mental illness?

Question Title

* 3. How comfortable are you talking with someone about their mental illness?

Question Title

* 4. Please answer the following questions as though you had a mental illness, whether or not you do. To what extent do you agree or disagree with the following statements. If I thought I had a mental illness...

Question Title

* 5. How much do you agree or disagree with the following statements?

Question Title

* 6. Are you aware of any programs or campaigns in your community that help raise awareness about mental illness?

* 4. Please answer the following questions as though you had a mental illness, whether or not you do. To what extent do you agree or disagree with the following statements.

If I thought I had a mental illness...