Mental Health Intake/Ongoing Service Survey Question Title * 1. Would you say that your general overall combined physical & mental health is: Excellent Very good Good Fair Poor Question Title * 2. Now thinking specifically about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days were you unable to do your usual activities, such as self-care, work or recreation? Question Title * 3. I have a good understanding of what my mental health issues are: Definitely For the most part Somewhat Not really Question Title * 4. I currently feel that I have coping strategies to deal with my mental health issues: Definitely For the most part Somewhat Not really Question Title * 5. Comments: Done