Mental Health and Wellness Survey

- 1 in 5 people will experience a mental health condition in any given year, and everyone faces challenges that can affect their mental health.
- Learn how you can take action for your mental health today: https://mhanational.org/mental-health-month/
- Check in with yourself today. Take a free, confidential mental health screen and get the help you deserve: https://screening.mhanational.org/screening-tools/
did you know?
- We plan to start a Mental Health Ministry in the parish.
  
  It will be SPIRITUAL in nature, not group therapy or mental health care.
  
  We would love to hear from you ... your needs, your interest, your thoughts.
  
  Scroll down to complete a confidential survey to share your feedback with us!
  
  (If you indicate that you are willing to help with the ministry, need more information, or otherwise would like us to be in touch with you, please leave your name and contact information. Thank you!)
- Mental Health and Wellness Survey
  
  This form is not accepting responses at this time.
  
  I am: (please check all that apply) Living with a mental illness or mental health issues The loved one of someone living with mental illness or mental health issues Interested in learning more about mental health A mental health professional interested in helping with the ministry
  
  Please check all of the activities below that you may be interested in: Spiritual Support Group for those with mental illness and/or mental health issues Spiritual Support Group for those with loved ones with mental illness and/or mental health issues Educational talks on mental illness or mental health issues Educational talks SPECIFICALLY FOR YOUTH on mental health Educational talks on how to maintain a good mental health Mass for those with depression, anxiety, or other mental health challenges
  
  Would you be interested in learning about mental health? Yes Depends on the subject matter No
  
  If the parish were to offer a mental health talk or support group, the below day/time would work best for my schedule:
  
  For those living with mental illness or mental health issues
  
  I am under 18: Yes No
  
  Which mental illness or issue are you living with? Please enter valid data.
  
  Are you actively in treatment? Yes No
  
  Does your loved one need community mental health resources? Yes No
  
  I feel there should be more mental health support in the parish: Yes No
  
  Knowing that confidentiality would be stressed, I would feel comfortable sharing in a spiritual group at church: Yes No
  
  For loved ones of someone living with mental illness or mental health issues
  
  My loved one is under 18: Yes No
  
  Which mental illness or issue is your loved one living with? Please enter valid data.
  
  Is your loved one actively in treatment? Yes No
  
  Does your loved one need community mental health resources? Yes No
  
  I feel there should be more mental health support in the parish: Yes No
  
  Knowing that confidentiality would be stressed, I would feel comfortable sharing in a spiritual group at church: Yes No
  
  This section totally optional, but helpful!
  
  Any unmet needs, further thoughts, etc.?
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Submit
  
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St. Daniel Catholic Church

Clarkston, MI

Mental Health and Wellness Survey

did you know?

Mental Health and Wellness Survey