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MHSA Community Program Planning Process Survey
1.
What County do you reside in?
Sutter County
Yuba County
Other / Not Shared
2.
What is your age?
0-15
16-25
26-59
60+
Decline to State
3.
What is your gender?
Male
Female
Other
Decline to State
4.
What is your Ethnicity?
Hispanic / Latino
African American
Asian / Pacific Islander
Caucasian / White
American Indian / Native American
Other
Decline to State
5.
What is your Primary Language
English
Spanish
Hmong
Punjabi
Other
Decline to State
6.
What group do you represent here today?
Client / Consumer
SYBH Staff
Family Member
Care Giver
CPS / Social Services
Education / Teacher
Business
Law Enforcement
Community Member
Medical Provider
Faith Based Organization
Decline to State
Other (please specify)
7.
How would you rate your knowledge of the MHSA Community Program Planning Process?
Very Poor
Poor
Fair
Good
Excellent
Very Poor
Poor
Fair
Good
Excellent
8.
I am familiar with Mental Health services provided in Sutter and Yuba counties.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
9.
How satisfied are you with Mental Health services in Sutter and Yuba counties?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
10.
Do you have any specific topics you would like addressed in the FY 23/24 MHSA Annual Update?
11.
What are the biggest obstacles that clients / consumers face in seeking mental health support? Prior obstacles identified from the 22/23 Annual Update include transportation to services, navigation of services offered and stigma of receiving Mental Health Services.
12.
How can SYBH improve Mental Health services in our area in the FY 24/25 and FY 25/26 with MHSA funding?
13.
Is there a particular program or area of interest you would like more information about? Please provide the program /area you are interested in learning more about, along with your contact information below.
14.
Additional comments or questions regarding SYBH MHSA services?
Current Progress,
0 of 14 answered