Surveys

Community Needs Survey (Mental Health)

Valley County C.A.R.E. is a recently formed group of area residents working to identify current mental health/substance abuse needs and resources in Valley County and initiate solutions to address these needs. Please complete this community needs survey. It is a brief and confidential survey to tell us what you think of mental health resources in the area. If you would like to join this group or would like more information, please email This e-mail address is being protected from spambots. You need JavaScript enabled to view it . Please answer the following questions.

I am

Male
Female

Zipcode

There is a need for mental health information in my community.

Yes
No

Do you feel there are adequate mental health services in your community?

Yes
No

The best way for me to receive educational information is:

Classes or support groups
Informational brochures
Sr. Center or Community Group
Personal Doctor
Counselor
Website
Other

I am interested in mental health issues because:

I would like information for myself
I care for/know someone who needs information
I would like to know what services are available in my area
I would participate in activities if offered
I would seek help/services, but do not want the public to know
I would seek confidential services
Other

How far would you travel for mental health services?

How far would you travel for mental health information?

Would you be interested in:

Helping provide educational services?
Further contact from our organization

If you checked either in the preceding question, please provide your contact information.

Email

Phone

Type the two words

Loup Basin Public Health Department

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Community Needs Survey (Mental Health)