Carroll County Mental Health Survey
Most of these questions will be optional, but please answer as honestly as possible. This is not a place where you will be judged. Your answers are completely confidential unless you identify yourself. If any part of the survey does not apply to you, please do your best to answer as honestly as possible, or skip over it as most of these questions are not required. Thank you for voicing your concerns and experiences with us!  
Sign in to Google to save your progress. Learn more
Please do not answer questions that do not apply to you. To get the most accurate survey data for the benefit of all students, we ask you to be honest when answering these questions. *
It is not required to use your testimonials/ responses in this survey. By clicking "agree," you consent to our use of your responses to copy, share, and/ or publish. (please keep in mind that if testimonials are shared all names will remain anonymous) *
What is your gender? (Not required but would help immensely)
Clear selection
What is your ethnicity/race (select all that apply)? (Not required but would help immensely)
Do you consider yourself to be a part of the LGBTQ+ community? (Not required but would help immensely)
Clear selection
Do you consider yourself to be: (Not required but would help immensely)
Clear selection
Do you consider yourself to be transgender? (Not required but would help immensely)
Clear selection
How would you describe your financial situation right now?
Clear selection
Which school do you attend? (Middle School students) *
Which school do you attend? (High School students) *
Required
Graduation Year
Clear selection
School Email (Only used to confirm you attended CCPS)
On a scale from 1-10, how have you been feeling this school year? *
Poor mental health
Good mental health
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy