1. Cultural Health Disparities Survey Questions

Thank you for volunteering to take part in this important survey measuring your experience, awareness, and coordination of mental health and substance use (behavioral health) and services in your county of residence.  Please complete one survey for each person receiving or received services

 

Gaining your perspective will help us improve the behavioral health care across the system of care. The survey should take about 5 minutes to complete. Be assured that no personal identification information is being gathered. All respondents are completely anonymous. 

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* 1. Please enter your zip code of residence

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* 2. Are you usually comfortable seeking behavioral health care services?

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* 3. On a scale of 1 to 5, with five being ‘strongly agree’, how would you rate your trust in the behavioral health care system to treat you with respect?

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* 4. Please rank the statements below that most closely describes your feelings regarding your behavioral health issues, with (1) being the best and (5) being the least.

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* 5. In which settings have you been the most comfortable discussing your behavioral health concerns? (Choose all that apply)

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* 6. If given a choice for receiving behavioral health care services, would you be more comfortable going to a faith-based organization OR prefer the traditional physician office?

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* 7. Now thinking about treatment options, on a scale of 1 to 5, with 5 being very likely, how comfortable would you be in group therapy?

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* 8. On a scale of 1 to 5, with 5 being very likely, how comfortable would you be in individual therapy?

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* 9. When you have received behavioral health care services in the past, were they mostly available in your primary language?

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