Style Affect Feedback

Instructions: This survey is to provide feedback as a participant in the Style Affect with host Mecca Williams. We value your input to help us improve and increase mental health awareness.

Participants who complete the survey will be entered into a drawing to win Black owned business products! A name will be drawn the 1st of each month and sent an email to claim their prize.

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* 1. Optional: Only participants who complete the contact information will be eligible for the drawing.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. How did you participate in the Style Affect?

Participant/Viewer

Guest Speaker/Panelist

Volunteer

Vendor/Contractor

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* 3. Did you attend a Style Affect event in person?

Yes

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* 4. If yes, what was the location?

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* 5. What is your age?

Under 18 years old

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

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* 6. What is your preferred pronoun?

She/Her

He/Him

They/Them

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* 7. How would you rate your mental health?

Excellent

Very good

Good

Fair

Poor

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* 8. How would you rate the quality of the Style Affect ?

Very high quality

High quality

Neither high nor low quality

Low quality

Very low quality

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* 9. On a scale from 1 (not at all satisfied) to 7 (extremely satisfied), please rate how satisfied you were with Style Affect information provided for each topic. The more satisfied you are with the information, the higher you would rate it. If you have never received information provided at Style Affect, please select N/A.

	1-Not at all satisfied	2	3	4	5	6	7-Extremely satisfied	N/A (Not Applicable)
Using Fashion and Style as Way to Improve Your Mental Health	Using Fashion and Style as Way to Improve Your Mental Health 1-Not at all satisfied	Using Fashion and Style as Way to Improve Your Mental Health 2	Using Fashion and Style as Way to Improve Your Mental Health 3	Using Fashion and Style as Way to Improve Your Mental Health 4	Using Fashion and Style as Way to Improve Your Mental Health 5	Using Fashion and Style as Way to Improve Your Mental Health 6	Using Fashion and Style as Way to Improve Your Mental Health 7-Extremely satisfied	Using Fashion and Style as Way to Improve Your Mental Health N/A (Not Applicable)
Connecting to Mental Health Resources in Richmond and Greater Richmond area	Connecting to Mental Health Resources in Richmond and Greater Richmond area 1-Not at all satisfied	Connecting to Mental Health Resources in Richmond and Greater Richmond area 2	Connecting to Mental Health Resources in Richmond and Greater Richmond area 3	Connecting to Mental Health Resources in Richmond and Greater Richmond area 4	Connecting to Mental Health Resources in Richmond and Greater Richmond area 5	Connecting to Mental Health Resources in Richmond and Greater Richmond area 6	Connecting to Mental Health Resources in Richmond and Greater Richmond area 7-Extremely satisfied	Connecting to Mental Health Resources in Richmond and Greater Richmond area N/A (Not Applicable)
Supporting Black Owned Businesses for Economic Growth	Supporting Black Owned Businesses for Economic Growth 1-Not at all satisfied	Supporting Black Owned Businesses for Economic Growth 2	Supporting Black Owned Businesses for Economic Growth 3	Supporting Black Owned Businesses for Economic Growth 4	Supporting Black Owned Businesses for Economic Growth 5	Supporting Black Owned Businesses for Economic Growth 6	Supporting Black Owned Businesses for Economic Growth 7-Extremely satisfied	Supporting Black Owned Businesses for Economic Growth N/A (Not Applicable)
Seeking a Black Therapists in Richmond and Greater Richmond area	Seeking a Black Therapists in Richmond and Greater Richmond area 1-Not at all satisfied	Seeking a Black Therapists in Richmond and Greater Richmond area 2	Seeking a Black Therapists in Richmond and Greater Richmond area 3	Seeking a Black Therapists in Richmond and Greater Richmond area 4	Seeking a Black Therapists in Richmond and Greater Richmond area 5	Seeking a Black Therapists in Richmond and Greater Richmond area 6	Seeking a Black Therapists in Richmond and Greater Richmond area 7-Extremely satisfied	Seeking a Black Therapists in Richmond and Greater Richmond area N/A (Not Applicable)
Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.)	Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.) 1-Not at all satisfied	Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.) 2	Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.) 3	Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.) 4	Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.) 5	Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.) 6	Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.) 7-Extremely satisfied	Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.) N/A (Not Applicable)
Increasing Awareness about Mental Health Treatment and Tools	Increasing Awareness about Mental Health Treatment and Tools 1-Not at all satisfied	Increasing Awareness about Mental Health Treatment and Tools 2	Increasing Awareness about Mental Health Treatment and Tools 3	Increasing Awareness about Mental Health Treatment and Tools 4	Increasing Awareness about Mental Health Treatment and Tools 5	Increasing Awareness about Mental Health Treatment and Tools 6	Increasing Awareness about Mental Health Treatment and Tools 7-Extremely satisfied	Increasing Awareness about Mental Health Treatment and Tools N/A (Not Applicable)
Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression	Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression 1-Not at all satisfied	Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression 2	Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression 3	Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression 4	Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression 5	Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression 6	Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression 7-Extremely satisfied	Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression N/A (Not Applicable)

Other (please specify)

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* 10. On a scale from 1 (not at all likely) to 7 (extremely likely), please rate how likely would you use the information the Style Affect provided. The more likely that you would use the information, the higher you would rate it. If you have never received information provided at Style Affect , please select N/A.

	1-Not at all likely	2	3	4	5	6	7-Extremely likely	N/A (Not Applicable)
Connecting to Mental Health Resources in Richmond and Greater Richmond area	Connecting to Mental Health Resources in Richmond and Greater Richmond area 1-Not at all likely	Connecting to Mental Health Resources in Richmond and Greater Richmond area 2	Connecting to Mental Health Resources in Richmond and Greater Richmond area 3	Connecting to Mental Health Resources in Richmond and Greater Richmond area 4	Connecting to Mental Health Resources in Richmond and Greater Richmond area 5	Connecting to Mental Health Resources in Richmond and Greater Richmond area 6	Connecting to Mental Health Resources in Richmond and Greater Richmond area 7-Extremely likely	Connecting to Mental Health Resources in Richmond and Greater Richmond area N/A (Not Applicable)
Seeking a Black Therapists in Richmond and Greater Richmond area	Seeking a Black Therapists in Richmond and Greater Richmond area 1-Not at all likely	Seeking a Black Therapists in Richmond and Greater Richmond area 2	Seeking a Black Therapists in Richmond and Greater Richmond area 3	Seeking a Black Therapists in Richmond and Greater Richmond area 4	Seeking a Black Therapists in Richmond and Greater Richmond area 5	Seeking a Black Therapists in Richmond and Greater Richmond area 6	Seeking a Black Therapists in Richmond and Greater Richmond area 7-Extremely likely	Seeking a Black Therapists in Richmond and Greater Richmond area N/A (Not Applicable)
Increasing Awareness about Mental Health Treatment and Tools	Increasing Awareness about Mental Health Treatment and Tools 1-Not at all likely	Increasing Awareness about Mental Health Treatment and Tools 2	Increasing Awareness about Mental Health Treatment and Tools 3	Increasing Awareness about Mental Health Treatment and Tools 4	Increasing Awareness about Mental Health Treatment and Tools 5	Increasing Awareness about Mental Health Treatment and Tools 6	Increasing Awareness about Mental Health Treatment and Tools 7-Extremely likely	Increasing Awareness about Mental Health Treatment and Tools N/A (Not Applicable)
Supporting Black Owned Businesses for Economic Growth	Supporting Black Owned Businesses for Economic Growth 1-Not at all likely	Supporting Black Owned Businesses for Economic Growth 2	Supporting Black Owned Businesses for Economic Growth 3	Supporting Black Owned Businesses for Economic Growth 4	Supporting Black Owned Businesses for Economic Growth 5	Supporting Black Owned Businesses for Economic Growth 6	Supporting Black Owned Businesses for Economic Growth 7-Extremely likely	Supporting Black Owned Businesses for Economic Growth N/A (Not Applicable)
Using Fashion and Style as Way to Improve Your Mental Health	Using Fashion and Style as Way to Improve Your Mental Health 1-Not at all likely	Using Fashion and Style as Way to Improve Your Mental Health 2	Using Fashion and Style as Way to Improve Your Mental Health 3	Using Fashion and Style as Way to Improve Your Mental Health 4	Using Fashion and Style as Way to Improve Your Mental Health 5	Using Fashion and Style as Way to Improve Your Mental Health 6	Using Fashion and Style as Way to Improve Your Mental Health 7-Extremely likely	Using Fashion and Style as Way to Improve Your Mental Health N/A (Not Applicable)
Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.)	Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.) 1-Not at all likely	Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.) 2	Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.) 3	Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.) 4	Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.) 5	Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.) 6	Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.) 7-Extremely likely	Increasing Awareness about Common Mental Health Disorders (i.e.: depression, anxiety, bipolar, etc.) N/A (Not Applicable)
Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression	Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression 1-Not at all likely	Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression 2	Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression 3	Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression 4	Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression 5	Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression 6	Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression 7-Extremely likely	Utilizing Fashion and Style as a Healthy Coping Strategy for Stress, Anxiety, and Depression N/A (Not Applicable)

Other (please specify)

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* 11. On a scale from 1 (not at all satisfied) to 7 (extremely satisfied), please rate how satisfied you were with the Style Affect. The more satisfied you are with the category, the higher you would rate it. If you have not experienced the category with the Style Affect, please select N/A.

	1-Not at all satisfied	2	3	4	5	6	7-Extremely satisfied	N/A (Not Applicable)
Ability for You to Engage and Participate in Discussion	Ability for You to Engage and Participate in Discussion 1-Not at all satisfied	Ability for You to Engage and Participate in Discussion 2	Ability for You to Engage and Participate in Discussion 3	Ability for You to Engage and Participate in Discussion 4	Ability for You to Engage and Participate in Discussion 5	Ability for You to Engage and Participate in Discussion 6	Ability for You to Engage and Participate in Discussion 7-Extremely satisfied	Ability for You to Engage and Participate in Discussion N/A (Not Applicable)
Virtual Technology Platform that was Used (i.e. Zoom, Google Meet, etc.)	Virtual Technology Platform that was Used (i.e. Zoom, Google Meet, etc.) 1-Not at all satisfied	Virtual Technology Platform that was Used (i.e. Zoom, Google Meet, etc.) 2	Virtual Technology Platform that was Used (i.e. Zoom, Google Meet, etc.) 3	Virtual Technology Platform that was Used (i.e. Zoom, Google Meet, etc.) 4	Virtual Technology Platform that was Used (i.e. Zoom, Google Meet, etc.) 5	Virtual Technology Platform that was Used (i.e. Zoom, Google Meet, etc.) 6	Virtual Technology Platform that was Used (i.e. Zoom, Google Meet, etc.) 7-Extremely satisfied	Virtual Technology Platform that was Used (i.e. Zoom, Google Meet, etc.) N/A (Not Applicable)
Easiness to Find and Complete Feedback Surveys	Easiness to Find and Complete Feedback Surveys 1-Not at all satisfied	Easiness to Find and Complete Feedback Surveys 2	Easiness to Find and Complete Feedback Surveys 3	Easiness to Find and Complete Feedback Surveys 4	Easiness to Find and Complete Feedback Surveys 5	Easiness to Find and Complete Feedback Surveys 6	Easiness to Find and Complete Feedback Surveys 7-Extremely satisfied	Easiness to Find and Complete Feedback Surveys N/A (Not Applicable)
Quality of Mental Health Resources and Information Provided (i.e. videos, documents, etc.)	Quality of Mental Health Resources and Information Provided (i.e. videos, documents, etc.) 1-Not at all satisfied	Quality of Mental Health Resources and Information Provided (i.e. videos, documents, etc.) 2	Quality of Mental Health Resources and Information Provided (i.e. videos, documents, etc.) 3	Quality of Mental Health Resources and Information Provided (i.e. videos, documents, etc.) 4	Quality of Mental Health Resources and Information Provided (i.e. videos, documents, etc.) 5	Quality of Mental Health Resources and Information Provided (i.e. videos, documents, etc.) 6	Quality of Mental Health Resources and Information Provided (i.e. videos, documents, etc.) 7-Extremely satisfied	Quality of Mental Health Resources and Information Provided (i.e. videos, documents, etc.) N/A (Not Applicable)
Professionalism and Knowledge of Guest Speakers and Artists	Professionalism and Knowledge of Guest Speakers and Artists 1-Not at all satisfied	Professionalism and Knowledge of Guest Speakers and Artists 2	Professionalism and Knowledge of Guest Speakers and Artists 3	Professionalism and Knowledge of Guest Speakers and Artists 4	Professionalism and Knowledge of Guest Speakers and Artists 5	Professionalism and Knowledge of Guest Speakers and Artists 6	Professionalism and Knowledge of Guest Speakers and Artists 7-Extremely satisfied	Professionalism and Knowledge of Guest Speakers and Artists N/A (Not Applicable)
Easiness to Navigate Website Resources	Easiness to Navigate Website Resources 1-Not at all satisfied	Easiness to Navigate Website Resources 2	Easiness to Navigate Website Resources 3	Easiness to Navigate Website Resources 4	Easiness to Navigate Website Resources 5	Easiness to Navigate Website Resources 6	Easiness to Navigate Website Resources 7-Extremely satisfied	Easiness to Navigate Website Resources N/A (Not Applicable)
Quality of Black Owned Business Products Received or Promoted	Quality of Black Owned Business Products Received or Promoted 1-Not at all satisfied	Quality of Black Owned Business Products Received or Promoted 2	Quality of Black Owned Business Products Received or Promoted 3	Quality of Black Owned Business Products Received or Promoted 4	Quality of Black Owned Business Products Received or Promoted 5	Quality of Black Owned Business Products Received or Promoted 6	Quality of Black Owned Business Products Received or Promoted 7-Extremely satisfied	Quality of Black Owned Business Products Received or Promoted N/A (Not Applicable)

Other (please specify)

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* 12. How likely is it that you would recommend Style Affect to a friend or colleague?

NOT AT ALL LIKELY

EXTREMELY LIKELY

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* 13. How likely are you to participate in future Style Affect projects?

Very likely

Likely

Somewhat likely

Neither likely nor unlikely

Somewhat unlikely

Unlikely

Very unlikely

Style Affect Feedback