1. VOCAL Annual Survey 2014

Virginia Organization of Consumers Asserting Leadership (VOCAL) is a statewide community, support network, social change movement, self-help and education program. Our organization is created by and for people who identify as having lived experience with mental health, both its challenges and its opportunities.

We want to get to know you better so that we can better serve you. Please fill out the following survey and help us learn how we can be most useful in your life and in your particular community.

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* 1. Gender:

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* 2. What is your race?

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* 3. Do you also identify yourself as Hispanic?

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* 4. Are you a veteran?

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* 5. Do you identify as a member of the LGBTQI community?

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* 6. Are you currently homeless, recently been homeless, or are you at risk of homelessness?

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* 7. What is your age?

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* 8. What is your highest level of education? Please check all that apply.

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* 9. Are you employed? Check all that apply.

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* 10. Do you have health care coverage? Check all that apply.

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* 11. Do you have your own form of transportation?

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* 12. Do you use the internet on a regular basis?

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* 13. What do you consider your home community to be?

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* 14. In what part of Virginia do you live? (Choose one answer only, please.)

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* 15. Where have you heard about mental health recovery? Please check all that apply.

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* 16. Where did you first hear about VOCAL? Please check all that apply.

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* 17. How long have you been a member of VOCAL ?

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* 18. Have you visited VOCAL's website (www.vocalvirginia.org) in the last six months?

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* 19. Have you ever visited VOCAL's facebook page?

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* 20. What resources have you learned about through VOCAL? Please check all that apply.

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* 21. If you're a VOCAL member, how helpful would you rate your membership in VOCAL in terms of aiding in and/or helping maintain your recovery? Please use the scale of 1 to 10.

  1 - Not at all helpful 2 3 4 5 - Moderately helpful 6 7 8 9 10 - Extremely helpful
Helpfulness of VOCAL in recovery

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* 22. Have you attended the annual VOCAL conference?

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* 23. What additional training, activities and/or opportunities would you like to see at the VOCAL conference in the future?

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* 24. How could VOCAL do a better job of supporting you in your recovery?

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* 25. Are you active with any of the following social networking sites? (Select all that apply.)

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* 26. Please tell us which of the following issues are of concern to you personally. Check one box for each issue:

  This is currently the most important issue in my life. This is an important concern for me. This is a small issue for me. Not an issue at all, or not applicable.
Accessing alternative recovery support
Accessing educational opportunities
Applying for disability
Employment
Forced treatment
General health care
Housing
Improvement and expansion of law enforcement mental health training
Improvement of mental health services in the criminal justice system
Job discrimination
Medication side effects
Mental health legislation
Mental health support in the educational system
Peer support
People incarcerated for mental health symptoms
Speaking up for myself
Stigma of mental illness
Transportation

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* 27. Please indicate which of the following groups or persons support you with recovery. "Support with recovery" may mean help with resources, listening to you, counseling, information, or advice, to aid you in achieving and/or sustaining recovery. Please check all that apply.

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* 28. Do you hold a leadership position in any of the groups or organizations listed in the previous question (27)?

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* 29. Have you had training in any of the following recovery or leadership programs? Please check all that apply.

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* 30. Is there anything else you would like to share?

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