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Youth Mental Health - Survey 2022
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* Indicates required question
Email
*
Your email
What gender do you identify as
Male
Female
Non-binary
Trans
Prefer not to say
Other:
Clear selection
What is your age?
*
0-15 years
16-19 years
20-29 years
30-39 years
40-49 years
50+ years
Prefer not to say
Where are you located?
*
Fredericton
Oromocto
Prefer not to say
Other:
Are there any children in your household under your care
*
Yes: age and gender:...........................
No
True or False: I believe that talking about suicide or asking someone if they feel suicidal will encourage suicide attempts:
*
True
False
True or False: I believe that if a person attempts suicide and survives, they will never make a further attempt
*
True
False
True or False: I believe that once a young person thinks about suicide, they will forever think about suicide
*
True
False
True or False: I believe that all young people with thoughts of suicide are depressed:
*
True
False
Has your child accessed any of the following services? Please select all that apply
*
Public Mental Health Services (i.e. Victoria Mental Health Center
Private Psychological Services (i.e psychologist/psychiatrist)
Private Counselling Services
Non-profit Counselling Services
Emergency Mental Health Services (i.e. ER at local hospital)
Mobil Crisis Unit or crisis line (i.e. Chimo Helpline)
Other:.......................................
No, my child has not accessed any of the above services.
Required
If your child accessed one of the above services, what was the cost per service?
Free
$0-$99
$100-$124
$125- $149
$150- $ 174
S175 +
If your child accessed one of the above services, did you use insurance to cover some or all of the cost?
Yes, my insurance covered in full
Yes, my insurance covered partly
No my insurance did not cover
No, the services were covered by Medicare
If your child accessed psychological or counselling services, did you attend your appointment?
Yes I attended my appointment
Yes, I attended several appointments
No, I did not attend any appointments
If your child accessed psychological or counseling services, were you satisfied with your service?
Yes, I am satisfied
No I am not satisfied with the service received
Please provide more information on whether you were satisfied or not with the services you accessed.
Your answer
What, if anything, was missing from the available services that you accessed?
Your answer
Contact information: if you want to be contacted about future events and town hall meetings, please provide us with your name and email:
Your answer
Please let us know what day and time works best for you to attend future meetings
Your answer
Please provide any topics you would be interested in learning about at future meetings
Your answer
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