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Supporting Youth and School Recovery sponsored by OHA and CFAP

To increase youth engagement and mentoring capacity of youth-serving community based organizations (CBO) and the youth-led work, our youth has created this survey questionnaire in order to better understand the needs for our community youth.  This survey is voluntary, but your input will provide great feedbacks for OHA to invest  funding for youth and school recovery from COVID 19.  Thank you very much for your participation. 

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* 1. Have you ever experienced any feelings of anxiety?

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* 2. What is your race?

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* 3. Are you in middle or high school ?

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* 4. How comfortable are you opening up to your school counselors? (On a scale of 1 to 10)

1 (Uncomfortable) 10 (Very comfortable)
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i We adjusted the number you entered based on the slider’s scale.

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* 5. Have you had any encounters with people who are affected by mental health issues?

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* 6. Did any outside pressures like school and other activities have impact on your mental health in any way?

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* 7. If you answered "yes" to the previous question, please list a few

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* 8. Do you think you would resort to mental health resources if and when you feel uneasy?

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* 9. Have you encountered any types of bullying?

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* 10. If yes to question #7, how severe was the bullying? (On a scale of 1 to 10)

1 (Not severe at all) 10 (Very severe)
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i We adjusted the number you entered based on the slider’s scale.

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* 11. Have you faced any difficulties when trying to communicate with those around you?

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* 12. Have you ever faced any confidence issues?

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* 13. How confident would you consider yourself to be? (On a scale of 1 to 10)

1 (Not confident at all) 10 (Very confident)
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i We adjusted the number you entered based on the slider’s scale.

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* 14. Do you feel supported by those close to you?

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* 15. Do you trust the people you are sharing your problems with?

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* 16. Who do you feel most comfortable sharing your feelings with?

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* 17. Do you think it is necessary to add mental health counselor in your school?

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* 18. Can you manage your emotions when dealing with everyday problems?

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* 19. What methods will help you the most to release pressures?  You can select as many as you like.

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* 20. Have you visited the hospital or any other healthcare facilities in the past year ?

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* 21. Do you know a family member or close friend who has visited a health care facility for mental health reasons?

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* 22. Have you ever experienced any of these symptoms? (Feeling isolated from friends/family, losing interest in hobbies, excessive worrying/fear, excessive fatigue, extreme mood changes, constantly feeling down, etc.)

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* 23. Have you ever suffered a mental breakdown?

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* 24. Do you have access to mental health support?

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* 25. How comfortable are you talking with others about your own mental health? (On a scale of 1 to 10)

1 (Very uncomfortable) 10 (Very comfortable)
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 26. Who do you talk to about mental health issues?

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* 27. What can your parents do to support your mental wellbeing?

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* 28. How does mental health impact your life (Why is mental health important to you?)

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* 29. What are some mental health support resources that you would feel comfortable using?

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* 30. If you  would like  to be on CFAP youth event mailing list,  please provide your contact info.

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