Well-Being Survey 

Madison County is asking community members to take this survey about their mental well-being.  The information will be used by the Mental Health Task Force to evaluate and improve the mental health of our community.

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* 1. What is your age?

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* 2. City, Town or Village where you live?

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* 3. What is your gender?

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* 4. Do you feel able to deal with the stress in your life?

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* 5. Compared to before the COVID-19 pandemic, is your ability to deal with your stress... (check one)

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* 6. What would help you be more able to cope with stress? (top 3)

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* 7. Compared to before the COVID-19 pandemic, is your ability to reach your goals (check one)

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* 8. What would help you reach your goals? (top 3)

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* 9. Compared to before the COVID-19 pandemic, is your ability to connect to the supports you need... (check one)

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* 10. What would help you to connect to supports? (top 3)

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* 11. Thank you! If you would like to be entered into a lottery to win a $100 gift card to either Price Chopper or Tops, please provide your information below. 

0 of 11 answered
 

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