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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.
1.
What is the zip code where you live?
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)
3.
Have you ever served in the Armed Forces?
Yes
No
4.
What is your gender?
Male
Female
Gender non-conforming
Other
If Other (please specify)
5.
What is your preferred language?
English
Spanish
Other
If Other (please specify)
6.
What is your age?
0-17 years
18-25 years
26-45 years
46-55 years
56-64 years
65+ years
7.
What is your race/ethnicity?
Asian/Pacific Islander
Black/African American
Hispanic/Latino
Native American
White
Other
If Other (please specify)
