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Hello:
You are invited to participate in our New Iberia Mental Health Initiative Survey. It is very important that you only take this survey if you live in the following zip codes: 70560, 70562, 70563. If you live outside of Iberia Parish, please do not proceed. It will take less than 5 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential.

Thank you very much for your time and support. Please start with the survey now by clicking on the Next button below.

 
 
 
* What is your zip code?
 
70560
 
70562
 
70563
 
 
 
* Do you think emotional well-being is important?
 
 
 
* Do you think you would be able to access mental health services?
 
 
 
* Do you think you would be able to find a mental health provider?
 
 
 
* Do you think you would be able to secure transportation for mental health services?
 
 
 
* Do you think mental health care is affordable?
 
 
 
* Does you health insurance cover mental health services?
 
 
 
* Would you ever consider seeing a therapist for mental health issues?
 
 
 
* Would you consider seeing a priest or pastor for mental health support?
 
 
 
* If you or someone you loved needed immediate psychiatric care, would you know how to access help?
 
 
 
* Do you feel there is a stigma attached to mental illness?
 
 
 
* How beneficial would support groups be to your community?
 
Very
 
Somewhat
 
Not at all
 
 
 
* How beneficial would educational seminars on emotional well-being be to your community?
 
Very
 
Somewhat
 
Not at all
 
 
 
* How knowledgeable are you regarding mental health services in your community?
 
Very
 
Somewhat
 
Not at all
 
 
 
* What type of health insurance do you have?
 
Private Insurance
 
Medicaid
 
Medicare
 
Private Pay
 
None
 
 
 
* What is your age group?
 
18-31
 
31-51
 
51-71
 
71 and up
 
 
 
* What is your gender?
 
Male
 
Female
 
 
 
* What is your ethnicity?
 
African American/Black
 
Caucasian/White
 
Asian
 
Hispanic
 
American Indian
 
Other