Peer Advisory Council Survey

PEER ADVISORY SURVEY FORM
We invite you to participate in our Peer Advisory Council survey. Your input and potential involvement are essential in helping us better support individuals living with mental health conditions. Your feedback will remain anonymous and confidential and will play a key role in strengthening our community’s initiatives of helping individuals living with mental health conditions build resilience, find support, and thrive in all areas of their lives.

The Peer Advisory Council offers guidance, support, and advocacy for individuals with mental health conditions. Our mission is to ensure access to vital mental health resources while fostering a community of understanding and hope. Through collaboration, mentorship, and shared lived experiences, we aim to promote long-term well-being.

Thank you for taking the time to share your thoughts and experiences with us!
Select Your role in responding to this survey

I am responding as a family member or caretaker of someone with a mental health condition(s).I am responding as an individual with mental health condition(s
What is your Age?

Under 1818-2425-3435-4546-5657+
What is your Gender? (Optional)

FemaleMaleNon-BinaryOtherPrefer not to say
Current Employment Status

Full-TimePart-TimeUnemployedStudentRetiredOtherPrefer not to say
What do you consider to be the biggest barrier to mental health recovery for yourself or someone in your life as a caretaker or family member? (Check all that apply).

Lack of access to mental health servicesBasic needs (Food-Shelter- Utilities-Clothing-Employment)Lack of support from family and friendsHousingTransportation IssuesFinancial ConstraintsStigma surrounding mental healthAccess to finding the right type of treatmentLack of information on available treatment or resources (not having enough information or awareness about the treatment options or resources that are available to you).Finding the right type of treatment(difficulty in identifying or accessing the most appropriate form of treatment for your specific needs)
In your experience, how much of a barrier is transportation to accessing mental health support for yourself or someone in your life as a caretaker or family member?
How often do financial constraints prevent you or someone in your life as a caretaker or family member from accessing the mental health support you need?
How familiar are you with the National Alliance on Mental Illness(NAMI)?
Have you ever accessed any support or services from NAMI?

YesNo
If yes, how would you rate the effectiveness of the services you received from NAMI?
What types of mental health support do you or someone in your life as a caretaker or family member currently use or have used in the past?
Are there enough mental health resources and support groups available in your community?
What additional resources or support would make the biggest difference to your mental health recovery or someone you care for as a caretaker or family member?
If you had the opportunity to speak to local policy makers, what changes would you advocate for to improve mental health support?
Do you feel that the stigma surrounding mental health has affected you or your loved one's ability to seek support?
Is there anything else you would like to share regarding your experiences with mental health recovery or support services?
Would you be interested in a NAMI Newsletter?

YesNo
Would you be interested in Volunteering with Nami York Adams?

YesNo
If you are interested in volunteering or participating in a future focus group to help us continue our efforts in improving mental health support and services, please provide your name, telephone, email and/or address below. We appreciate your willingness to share your thoughts and contribute to shaping the future of mental health resources in our community.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is the best way to contact you?

EmailMailPhone
Should be Empty:

PEER ADVISORY SURVEY FORM