2025 SCAMHC Community Needs Assessment

Please complete this anonymous survey to help South Central Alabama Mental Health Center (SCAMHC) identify and improve service gaps in your community.

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1. Which county are you taking this survey for? Please select ONE.

Butler 

Coffee 

Covington 

Crenshaw

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2. What is the zip code where you live?

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3. Do you or members of your household receive services at SCAMHC?

Yes 

No 

Unsure 

Prefer not to answer

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4. Do children under the age of 18 currently live in your household full-time or part-time?

Yes

Prefer not to answer

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5. What is your age?

15-17 years 

18-24 years 

25-29 years 

30-39 years 

40-49 years

50-59 years 

60-69 years 

70-74 years 

75 years or over

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6. What is your gender identity? Check all that apply.

Female 

Male 

Non-binary 

Genderqueer/Gender non-conforming

Transgender 

Prefer not to say

Prefer to self-describe

If prefer to self-describe, please specify

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7. What is your race? Check all that apply.

American Indian and Alaska Native 

Asian 

Black or African American

Native Hawaiian and Other Pacific Islander 

White 

Other (please specify)

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8. Are you Hispanic, Latino, or Spanish origin?

Yes 

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9. Do you speak another language other than English at home?

No 

Yes

If Yes (please specify other language)

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10. What is the highest level of education you have completed? Please select one.

No schooling completed 

Grade K-11 

12th grade, but no diploma

High school diploma 

GED or alternative diploma 

Some college credit, but no degree

Associate’s degree 

Bachelor’s degree 

Master’s degree or higher

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11. What was your household's income in the past 12 months? Please select one.

Less than $10,000 

$10,000 to $14,999 

$15,000 to $24,999 

$25,000 to $34,999

$35,000 to $49,999 

$50,000 to $74,999 

$75,000 to $99,999 

$100,000 to $149,999

$150,000 to $199,999 

$200,000 or more

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12. Are you or any member of your household covered by any of the following types of health insurance or health coverage plans? Check all that apply.

Insurance through a current or former employer or union

Insurance purchased directly from an insurance company

Medicare, for people 65 and older, or people with certain disabilities

Medicaid, Medical Assistance, or any kind of government-assistance plan for those with low incomes or a disability

TRICARE or other military health care

VA (enrolled for VA health care)

Indian Health Service

Other insurance (please specify)