Community Mental Health Survey- Original

Purpose:

The City of Greensboro Human Rights Commission is conducting a Community Mental Health Survey to better understand the social, economic, environmental, and community conditions that influence the mental health and overall well-being of Greensboro residents.

Time: About 10–12 minutes
Your answers are private. You do not have to take this survey.

Section 1: Consent

Do you want to take part in this survey?

Section 2: About You

Zip Code:

How long have you lived here?

Age:

Race/Ethnicity(check all that apply):

Gender:

Are you a veteran?

Highest level of school completed:

Work status:

Yearly income:

Section 3: Money and Housing

Do you have enough money for your needs?

Have you had trouble keeping a job in the past year?

Your housing is:

Do you have trouble paying for housing?

How much stress do you feel about money?

Section 4: Education

Do people in your community have equal chances to learn?

Can you get job training classes if you need them?

How well do you understand mental health?

Section 5: Health Care

Do you have health insurance?

Have you needed care but could not get it?

What makes care hard to get? (check all that apply)

Is it easy to find care that respects your culture?

Have you felt treated unfairly in health care?

Section 6: Your Neighborhood

How safe do you feel where you live?

How good are parks or green spaces near you?

How is transportation in your area?

Does your environment affect your mental health?

Section 7: Community and Support

Do you feel like you belong in your community?

How often do you take part in community events?

Have you faced discrimination in the past year?

Do you know where to get help in a mental health crisis?

Section 8: Your Thoughts

What are the biggest challenges in your community?

What resources are needed most?

How can the Human Rights Department help?

Section 9: Final Questions

Would you like to help with future projects?

Name

First NameLast Name

Email

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Contact (optional)

Thank you! We appreciate your submission.

We appreciate your submission.