How has COVID affected you?
Thank you for taking the time to answer this survey. All answers are kept confidential (however, I cannot guarantee 100% confidentiality due to the use of Google forms). Your answers will allow me to better suit the newsletter to your needs and help me to apply myself in specific areas as a counselor in the training of clinical mental health counseling.
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What is your age? *
What is your gender? *
Has COVID19 negatively affected you? *
If yes, how so? *
Do you feel you have access to resources to help you manage these negative effects? *
Do you suffer from anxiety or depression? *
If yes, what resources would be beneficial to see in the newsletter? *
What do you dislike about the Poiema Women's Success newsletter? *
What do you like about the Poiema Women's Success newsletter? *
What about coaching or counseling makes you nervous? *
Would you like to learn more about working with me? *
If yes to the above question, please add your email and full name below. *
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