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* 1. What is your current age?

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* 2. What gender do you identify?

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* 3. What is your nationality/race?

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* 4. What is your profession or highest level of education completed?

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* 5. What region of Sacramento do you reside? (i.e. Del Paso Heights, Oak Park, Meadowview, Valley Hi, Rancho Cordova, Natomas, South Sacramento).

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* 6. Mental health and wellness awareness are important in my daily life.

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* 7. I know how to access mental health and wellness services in my community.

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* 8. There are no challenges or barriers that prevent individuals from accessing mental health and wellness services. 

If you disagree, please list up to three barriers or challenges in other box.

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* 9. I am aware of treatment options to treat mental health.

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* 10. I have or someone close to me is receiving or has received mental health or wellness services. 

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