Champaign County Mental Health & Developmental Disabilities Boards Community Needs Assessment Survey
Please treat our brief survey as a thought experiment. We want to make Champaign County a place where people can achieve their best life, with the health and wellness and success they aspire to and deserve. This includes people who live with mental illnesses, mental injury (such as from trauma), who choose recovery from substance use disorders (such as addiction or alcoholism), and who have intellectual/developmental disabilities which may make some aspects of community life harder to access. Your Opinion Matters!
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Do you live in Champaign County? *
What is your zip code? (Optional)
What do you like about life in Champaign County? (Optional)
What do you NOT like about life in Champaign County? (Optional)
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. *
List any substance abuse services, supports, or resources for people who live in Champaign County. *
List any services, supports, or resources available to people who have intellectual/developmental disabilities and live in Champaign County. *
What are some services, supports, or resources that should be added to our community to help more people? *
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)
Clear selection
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)
Clear selection
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)
Please provide your email address. (Optional)
Thank you for your time!
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