Assess Your Confidence And Capability

What do the people you speak with or counsel worry about or struggle with the most?

Select up to 5 choices.

Money / Job Security / Financial Stress

Family Relationship Challenges (Parents / Siblings)

Loneliness

Finding A Spouse

Intimate / Marital Challenges

Self Esteem

Anxiety / Worry

Sleep Issues

Body Image / Weight

Depression

Fertility / Postpartum

Parenting Challenges

Women’s Health

Same Sex Attraction / Sexual Identity

Specific Event / Trauma

Addiction

Islamophobia / Racism

Grief / Loss

What training / studies / certifications have you completed in the areas of mental / behavioral health or wellness?

I am or have been in therapy.

I have or have had a family member in a recovery community.

I am or have been a part of a recovery community.

I’ve had others disclose about their struggles to me.

I have given presentations on mental / behavioral health and wellness

I’ve counseled others through different stages of their recovery.

I have or have had a family member in therapy.

What experience(s) do you have supporting those in recovery from a mental or behavioral health challenge?

Chaplaincy Training

Pastoral Counseling

Mental Health First Aid

MSW / MFT / MSC / MSEd

Life / Relationship Coaching

No Training Background

Other

How would you rate your level of confidence at providing preliminary support and counsel to those struggling with a behavioral or mental challenge?

1 – Not confident at all and 10 being absolutely confident

How would you rate your level of preparedness at providing preliminary support and counsel to those struggling with a behavioral or mental challenge?

1 – Not prepared at all and 10 being absolutely prepared

Reflecting on your personal rating from the last 2 questions about your level of confidence and preparedness providing preliminary support and counsel, why did you give yourself these scores?

What is your greatest challenge or impediment when it comes to providing support or raising awareness around mental and behavioral health in your community?

I’m actively going through my own mental / behavioral health challenges.

I do not feel confident in my knowledge or my skills in this area.

I am overwhelmed with existing responsibilities, and do not have enough time to support others.

I’m not known by others as someone who helps in this area.

My community is not receptive to programming around mental / behavioral health.

I do not have access to resources / materials to easily raise awareness or to facilitate programming.

Other

You said that "@{What is your greatest challenge or impediment when it comes to providing support or raising awareness around mental and behavioral health in your community?:17}" was your biggest challenge as it comes to providing support or raising awareness around mental and behavioral health in your community… Can you tell us more about what you are experiencing?

Please be as detailed and specific as possible: Rest assured, your answers are confidential, so please do not be shy to answer in detail. If your answers are vague, it may impede on our ability to create resources to address your specific challenge.

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