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Mental Health Among Gen Z
*
1.
What is your age?
(Required.)
Under 18
18-24
25-30
31-35
36-44
45-54
55-64
65+
*
2.
What is your current level of education?
(Required.)
High School
Working towards A.A.
Working towards B.A.
Graduated with A.A.
Graduated with B.A.
Grad Student
Graduated with Masters
Other (please specify)
*
3.
In the past six months, how often have you felt: Excessive anxiety or worry?
(Required.)
Always
Usually
Sometimes
Rarely
Never
*
4.
In the past six months, how often have you felt: Restless, fatigued, irritable or tense?
(Required.)
Always
Usually
Sometimes
Rarely
Never
*
5.
In the past six months, how often have you felt: Distress that caused impairment to daily life or work?
(Required.)
Always
Usually
Sometimes
Rarely
Never
*
6.
In the past six months, how often have you felt: A low or irritable mood?
(Required.)
Always
Usually
Sometimes
Rarely
Never
*
7.
In the past six months, how often have you felt: A loss of interest in most activities?
(Required.)
Always
Usually
Sometimes
Rarely
Never
*
8.
In the past six months, how often have you felt: A sense of guilt or worthlessness?
(Required.)
Always
Usually
Sometimes
Rarely
Never
*
9.
Have you ever attended therapy at any point in your life?
(Required.)
Yes- Is still attending
No- But plans to
Yes- Is no longer attending
No- Does not plan to
(if yes) online
(if yes) in person
Other (please specify)
*
10.
What is a barrier to attending therapy?
(Required.)
No interest
Money
Insurance Coverage
Stigma
Accessability
Location
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Other (please specify)