SCAMHC Community Needs Assessment Survey 2024

Please complete this anonymous survey to help South Central Alabama Mental Health Center (SCAMHC) to improve services and to identify gaps in care in Covington County.

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* 1. What is the zip code where you live?

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* 2. Select the option(s) that most closely apply to you.

I am a mental health client at SCAMHC

I am the parent, caregiver, friend, or family of a mental health client at SCAMHC

I am a community member

I am a service provider

Other

If Other (please specify)

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* 3. Have you ever served in the Armed Forces?

Yes

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* 4. What is your gender?

Male

Female

Gender non-conforming

Other

If Other (please specify)

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* 5. What is your preferred language?

English

Spanish

Other

If Other (please specify)

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* 6. What is your age?

0-17 years

18-25 years

26-45 years

46-55 years

56-64 years

65+ years

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* 7. What is your race/ethnicity?

Asian/Pacific Islander

Black/African American

Hispanic/Latino

Native American

White

Other

If Other (please specify)