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MHIFT SURVEY
Here's
a chance for you
to say what you think
about mental health, and the services provided in your area.
Fill in
this survey and click SUBMIT (button below) to automatically send it back
to us.
1. How would you describe
your ethnicity? Please write in box below
2. Are you (please choose):
Female
Male?
3. How old are you? 12-16 17-21 21-25 26+
4. If you had a problem
that you couldn't cope with, please indicate who you would be
prepared to seek help from:
family member psychiatrist mental health specialist friend therapist counsellor psychologist
5. When you think of "Mental
Health", what is the first thing you think of? - Please
write down what this is.
6a] Please indicate with
a tick those organisations listed below that you have
heard of:
- 1. Careline
2. Samaritans
3. MIND
4. ChildLine
- 5. Young Minds
b] Using a scale of 1
to 8 [if 1 one the lowest and 8 the highest], please indicate
how well informed you are of the services provided by those organisations
you have heard of
[Low] 1 2 3
4 5 6 7 8 [High]
c] If you thought you
could benefit from receiving some of the services offered by
the organisations listed above, would you consider using them?
Please choose one
Yes Not Sure No
7. Using a scale of 1
to 8 [if 1 represented the saddest you've ever been, and 8 the
happiest], please indicate, by choosing a number, how you feel
at the moment
[Saddest] 1 2 3 4 5 6 7 8 [Happiest]
8a] If you were distressed
and wanted to seek professional support for a private
emotional problem, who would you speak with? Please indicate
in box
b] Would you know how
to access that person?
Yes Not Sure No
9. If you had more information
on what counsellors, psychologists, therapists, etc. actually
do and don't do, would you be more prepared to consider accessing
their services if they could help you with a problem?
Yes Not Sure No
10a] Would you ever access
a "Mental Health Service"
Yes Not Sure No
- If you have
answered 'no', what is it about such a service that would stop
you from accessing it? Please write below
11. If you felt depressed
and went to see your doctor, and your doctor offered you a series
of appointments with a therapist and a course of anti-depressants,
which would you accept:
Anti-depressants
Therapy Both Neither
12. Do you have enough
information on how to access support locally, if you wanted to
speak with someone outside of your peer group or family?
Yes Not
Sure No
13. Do you think 'talking'
health services are lacking in your area?
Yes Not Sure No
14. If money were no object,
what kind of services for young people would you make available
in your area? Please write
15. Do you have Mental
Health?
Yes Not Sure No
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