Screen Reader Mode Icon
This brief survey is to help us understand the background of each person in the support group, identify trends and potential research before one learns the Mental Health Strong tools. Your personal information is confidential, will not be shared outside MHS and is gathered only to add you to the MHS communications that you can at any point opt out of. Thank you again for your valuable input so that we can continuously bring hope, resources and support to marriages with mental health and addiction challenges.

Question Title

* 1. Name

Question Title

* 2. Email

Question Title

* 3. Phone Number

Question Title

* 4. What are your social media handles?

Question Title

* 5. Where do you live in general? (State, Country)

Question Title

* 6. Do you have children?

Question Title

* 7. How long have you been married?

Question Title

* 8. What condition(s) or addictions does your spouse have (click all that apply)?

Question Title

* 9. What stage of the marriage are you in wiith a mental health or addiction challenge?

Question Title

* 10. On a scale of 1-5, how hopeful and skilled do you feel about your marriage making it and not obtaining a divorce?

Question Title

* 11. What is your faith (it is ok if you don't have one)?

Question Title

* 12. What is the main item that you are looking to gain from the MHS Community?

Question Title

* 13. How did you hear about Mental Health Strong?

Question Title

* 14. Additional Comments / Suggestions / Needs / Questions

0 of 14 answered
 

T