Mental Health Awareness Survey

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Thank you in advance for completing our survey!

Appreciatively,
Shelby Frederick, Certified Faith-Based Counselor & Instructor

Name *

Email Address *

Contact Number *

As A Believer, on a scale of 0 - 10, how much do you understand about Mental Illness? *

0 - 2 - I have no understanding of mental illness

3 - 5 - I have a limited understanding of mental illness

6 - 8 - I have solid understanding of mental illness

9+ - I am a licensed mental health professional

Required

Please answer the following: *

I am not a ministry leader but would like to get certified in Faith-Based Therapy

I lead a ministry and have access to Faith-Based Counselors

I lead a ministry but do not have access to Faith-Based Counselors

I lead a ministry but would like to be trained in Faith-Based Therapy

I lead a ministry and would like to have a referral base for licensed and certified counselors

I lead a ministry and would like to get certified as a Faith-Based Clinical Counselor

I would like to send my leadership team to get certified in Faith-Based Therapy

Required

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