State of Youth Mental Health

A quick mental wellness check in :)

Please do not enter any personal information. This is for data collection only and you will not be contacted in regards to your response. Please only respond with as much detail as you are comfortable sharing; you are only required to respond to the date and request for legal guardians' permission.

Question Title

* 1. I am 18+ years of age and/or have permission from a legal guardian to respond to this questionnaire

Yes

I am a legal guardian of a youth and am responding on their behalf

Question Title

* 2. On what day are you taking this survey

Month

Date

Question Title

* 3. Please indicate which of these statements accurately represents how you have felt in the past two weeks

I have been socially engaged

I have been academically engaged

I have been engaged in activities that I enjoy

I have been able to express my thoughts and emotions clearly

I have felt "okay" or "like myself"

I have felt joy

I have confidence in myself

I am worried about something

Other (please specify)

Question Title

* 4. Please indicate which of these statements you agree with

I am satisfied with my school's treatment of myself

I am satisfied with my school's treatment of other students

I am satisfied with my school's treatment of mental health or academic needs

I am satisfied with my knowledge of physical health resources available to me

I am satisfied with my knowledge of mental health resources available to me

I am satisfied with my access to mental health resources

I am satisfied with how mental health professionals treat me

I am satisfied with how my parents treat my mental wellness

I am satisfied with how my parents treat mental illness

I am satisfied with how my peers treat my mental wellness

Other (please specify)

Question Title

* 5. These are the resources I know how to access

Medication

Therapy

Peer Support Group

Case Manager

Emergency Services

School Support

Other (please specify)

None of the above

Question Title

* 6. Please indicate how well you feel about the near future (next few days or weeks)

Hopeless

Stressed

Neutral

Positive

Hopeful/excited

Other (please specify)

Question Title

* 7. Please indicate how well you feel about the distant future

Hopeless

Stressed

Neutral

Positive

Hopeful/Excited

Other (please specify)

Question Title

* 8. Do you feel like you are supported?

Yes

Sometimes

I don't know

Other (please specify)

Question Title

* 9. Do you feel like you are able to support others?

Yes

Sometimes

I don't know

Other (please specify)

State of Youth Mental Health

A quick mental wellness check in :)

Question Title

* 1. I am 18+ years of age and/or have permission from a legal guardian to respond to this questionnaire

Question Title

* 2. On what day are you taking this survey

Question Title

* 3. Please indicate which of these statements accurately represents how you have felt in the past two weeks

Question Title

* 4. Please indicate which of these statements you agree with

Question Title

* 5. These are the resources I know how to access

Question Title

* 6. Please indicate how well you feel about the near future (next few days or weeks)

Question Title

* 7. Please indicate how well you feel about the distant future

Question Title

* 8. Do you feel like you are supported?

Question Title

* 9. Do you feel like you are able to support others?

Question Title

* 10. Please indicate the county in Pennsylvania where you attend school