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* 1. Have you ever talked to anyone about your mental health or emotional well-being?

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* 2. If yes, who did you reach out to for help? (check all that applies)

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* 3. Has anyone close to you urged you to get help for a mental health need?

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* 4. If yes, who did you reach out to for help?( check all that applies)

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* 5. If no, what held you back from talking to anyone or seeking help?

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* 6. Have you ever experienced any of the following?(check all that applies)

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* 7. Have you ever thought of hurting yourself?

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* 8. If yes, have you ever experienced any of the following?( check all that
applies)

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* 9. Have you experienced a traumatic event that still bothers you today?
(dreams, flashbacks,causes upset feelings)

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* 10. Did you talk to anyone at the time or about the event?

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* 11. What supports and services do you find most helpful in Rangeley to
support your mental health?

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* 12. Are there other specific mental health services and /or supports that
you would utilize if they were offered in Rangeley?

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* 13. Has a friend or family member struggled with a mental health issue?

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* 14. If yes, what challenge do they appear to have struggled with:

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* 15. Did your friend or family member recognize the issue was having a
negative impact on their life?

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* 16. Were you comfortable talking about the issue of mental health with
them?

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* 17. Did you feel able to provide them with support?

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* 18. To your knowledge, did they seek professional help?

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* 19. If yes, where did they get help?

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* 20. If no, what held them back from getting help?

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* 21. Were they able to get the type of help they needed in Rangeley?

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* 22. If not, do you know why?

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* 23. When you think about yourself, your family, and friends seeking help for a mental health concern; what barriers have you heard people
experienced?( check all that applies)

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* 24. Would you or your child participate in activities to promote mental
health awareness?

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* 25. Which topics or activities are of greatest interest to you?

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* 26. In our community what specific mental health conditions do you believe folks struggle with most often?

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* 27. When it comes to addressing depression, anxiety, and substance use, 
what services and supports do you think community members would be most likely to use?(check all that applies)

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* 28. What services are needed in Rangeley that are not currently available?

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* 29. In order for a thorough assessment of our community's needs, please
share your age

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* 30. In order for a thorough assessment of our community's needs please
share you gender:

T