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What is your age?
18-24
25-34
35-44
45-54
Over 55
What is your ethnicity?
White/Caucasian
Hispanic/Latino
Black/African American
Native American/Indigeneous
Asian/Pacific Islander
Other
What is your gender?
Female
Male
Other
Prefer not to say
On a scale of 1-5, how would you rate your mental health?
1 - Extremely poor
2 - Somewhat poor
3 - Neutral
4 - Somewhat good
5- Extremely good
How anxious do you feel about seeking mental health services on campus?
Extremely comfortable
Somewhat comfortable
Neutral
Somewhat uncomfortable
Extremely uncomfortable
How important do you think it is for college campuses to provide mental health services to students?
Not at all important
Slightly important
Moderately important
Very important
Extremely important
Have you experienced any barriers to accessing mental health services on campus? Check all that apply.
Long wait times to see a mental health professional.
Limited availability of mental health services.
Difficulty scheduling appointments.
Stigma or discrimination associated with seeking mental health services.
Lack of awareness about available services.
Other
Are there any resources or services that you believe are missing from your campus mental health program that could better support students? Check all that apply.
More mental health professionals available.
More accessible hours of operation for mental health services.
More specialized services, such as group therapy or targeted support for specific issues.
Improved mental health education and resources.
Other
How confident do you feel in the confidentiality and privacy protections offered by mental health services on campus?
Extremely confident
Somewhat confident
Neutral
Somewhat unconfident
Extremely unconfident
How much do you feel that you have time to seek mental health services on campus?
Not at all
Not very much
Neutral
Somewhat
Very much
The following are statements. Please choose the best level of agreement.
"I am aware of the mental health services offered on my campus".
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
"I have experienced difficulty navigating the mental health services offered on campus".
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
"I am able to afford mental health services on my campus."
Strongly agree
Somewhat agree
Neither agree nor disagree
Somewhat disagree
Strongly disagree
"I have experienced long wait times for mental health services on my campus."
Strongly agree
Somewhat agree
Neither agree nor disagree
Somewhat disagree
Strongly disagree
"I feel understood and supported by mental health professionals on my campus."
Strongly agree
Somewhat agree
Neither agree nor disagree
Somewhat disagree
Strongly disagree
"I am concerned about stigma related to seeking mental health services on my campus."
Strongly agree
Somewhat agree
Neither agree nor disagree
Somewhat disagree
Strongly disagree
"I have faced cultural barriers when seeking mental health services on my campus."
Strongly agree
Somewhat agree
Neither agree nor disagree
Somewhat disagree
Strongly disagree
"I have faced accessibility barriers when seeking mental health services on my campus."
Strongly agree
Somewhat agree
Neither agree nor disagree
Somewhat disagree
Strongly disagree
"I feel like mental health services on my campus are inclusive and meet the needs of diverse students."
Strongly agree
Somewhat agree
Neither agree nor disagree
Somewhat disagree
Strongly disagree
Are there any additional barriers that have prevented you from seeking out mental health services on campus? If so, what are they?
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