What do you like about life in Champaign County? (Optional)
Your answer
What do you NOT like about life in Champaign County? (Optional)
Your answer
Do you have any of the following? *
Required
Are you a family member or friend involved in the care of a person who has one or more of the above conditions? *
Have you ever tried to get services, supports, or resources related to mental health, substance use, or intellectual/developmental disability, in Champaign County? (For yourself or another person.) *
List any mental health services, supports, or resources for people who live in Champaign County. *
Your answer
List any substance abuse services, supports, or resources for people who live in Champaign County. *
Your answer
List any services, supports, or resources available to people who have intellectual/developmental disabilities and live in Champaign County. *
Your answer
What are some services, supports, or resources that should be added to our community to help more people? *
Your answer
Do you have access to the Internet? (Optional)
Clear selection
What’s the best way to get information to you? *
Required
Where do you stay? (Optional)
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Do you or a household member USE any of these services or benefits? (Optional)
Do you or a household member NEED any of these services or benefits? (Optional)
Which of the following are important to you? (Optional)
Do you have any of the following housing related needs? (Optional)
What is your age? (Optional)
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What is your gender? (Optional)
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Please specify your race/ethnicity. (Optional)
What is the highest level of education have you completed? (Optional)
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What else would you like to tell us about services, supports, resources, or benefits available in Champaign County or about life in Champaign County? (Optional)