Mind Matters: Mental Health Pain Point Survey

What mental health challenges are you facing?

Anxiety Depression Stress Trauma Relationship issues

How do these issues impact your daily life?

Sleep disturbances Difficulty concentrating Lack of motivation Isolation Physical symptoms (e.g., headaches)

Have you sought help for these challenges before?

Yes, from a therapist/counselor Yes, from a psychiatrist No, not yet I am currently in therapy I have tried self-help techniques

What barriers prevent you from seeking help?

Cost/insurance Stigma around mental health Lack of time Fear of judgment Unsure where to find help

What outcomes do you hope to achieve from seeking help?

Improved coping skills Reduced symptoms Better relationships Emotional healing Enhanced self-awareness

How do you prefer to receive mental health support?

In-person therapy Online therapy/counseling Support groups Self-help resources Holistic therapies

All set, how can we reach you?

Name

Phone

Yes, I have read and agree to the Terms and Conditions. (Details here)

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Thank you for sharing your mental health journey with us!