Guide To Feeling Better Web Survey

Has using our web site helped you?

Your responses to this questionnaire are completely anonymous and confidential.

The results will be used to help us update this site with the most useful information.
Thank you for your time.

The Mental Health and Substance Abuse Awareness Committee

Gender:
Age:

1. How did you find out about this site? (Select all that apply)

Radio	Physician Office
Cable TV	Referral from Friend/Family
Web Research	Employer
Brochure	Network TV
Other

2. On whose behalf were you seeking information? (Please select one)

Yourself	Your parents/parents-in-law or other elderly friend/relative
Your spouse	A non-elderly friend or relative
Your child/children	Other

3. What information did you find useful? (Select all that apply)

	Symptoms, causes, recovery		Treatment options
	Practical Tips		Employee assistance information
	Wellness Checks		Insurance Information
	On The Airwaves		Resource Directory
	Substance abuse information		FAQ's
	As We Age		Encouraging Others

4. Did you take a wellness check? (Select one)

Yes

5. What do you plan to do with the information? (Select all that apply)

	Refer someone else to look at it
	Print out information/Book-marked the page for reference
	Seek more information from other sources
	Go to a doctor
	Go to a mental health professional
	Seek out support services (support groups, exercise programs, education course/seminar)
	Nothing

6. Would you recommend this site to others?

Yes

7. What is your current mental health or substance abuse status? (Please select one)

	You do not feel you have a mental health or substance abuse issue (end of survey, Thank You!)
	You believe you have a mental health and/or substance abuse problem (go to question 8)
	A screening has indicated you may have depression, anxiety or substance abuse concern (go to question 8)
	A clinician has diagnosed you with a mental health and/or substance abuse diagnosis (go to question 8)

8. What are you doing about your mental health or substance abuse concern? (Select all that apply)

	Receiving medication as prescribed by a clinician
	Receiving therapy
	Receiving both medicine and therapy
	Participating in support services (support groups, recovery programs, education courses/seminars)
	Changed personal habits/behaviors (eating healthier, exercising)

9. What encouraged you to do something about your mental health or substance abuse problem?

Thanks for taking your time to complete this survey. We hope you feel better bit-by-bit.