Behavioral Health Response During Natural Disaster and Crisis Events
Bi-partisan Safer Communities Act Grant Throughout the survey, disaster means natural disasters, man made disasters, and mass casualty events (tornados, train derailments, active shooter, etc.).
Name (optional)
First Name
Last Name
Home Zip Code
Age Range
55 - 65 years old
Over age 65
How aware are you of emotional or mental health supports in Delaware and Morrow Counties that may be available after a disaster?
Very Aware
Somewhat Aware
Slightly Aware
Not Aware At All
Unsure
If you or someone you cared for needed emotional or mental health support following a disaster, where would you most likely seek help? (select all that apply)
Family or Friends
Primary Care Provider
Mental Health Professional
Community Organization
Faith-Based Organizations
School or Workplace Supports
Emergency Responders
Crisis Line (e.g., 988)
HelpLine
Online or Virtual Resources
I would not known where to go
Other
Which sources, other than SourcePoint, would you trust most for information about emotional or mental health support following a disaster? (select up to three)
Local Government
Emergency Management
Healthcare Providers
Schools
Community Organizations
Social Media
Local News
Faith-Based Organizations
Friends or Family
Other
How would you prefer to receive information about support services following a disaster? (select all that apply)
Text Alerts
Phone Calls
Emails
Social Media
Local News
Community Websites
Printed Materials
In-person Outreach
Which emotional or mental health concerns do you think are most common following a disaster? (select all that apply)
Stress
Anxiety or Fear
Grief or Loss
Depression
Trauma-Related Symptoms
Loneliness or Isolation
Substance Use Concerns
Not Sure
Other
What might make it difficult for you or others in your household to access emotional or mental health support following a disaster? (select all)
Transportation
Cost
Lack of Information
Stigma
Language or Cultural Barriers
Physical or Mobility Limitations
Childcare or Caregiving Responsibilities
Internet or Technology Access
No Barriers Anticipated
Other
When do you think emotional or mental health support is most needed following a disaster?
During the Event
Immediately After
Weeks After
Months After
Ongoing as Needed
What types of support would be most helpful following a disaster? (select all that apply)
One-on-One Counseling
Group Support
Peer or Community-Based Support
Crisis Hotlines or Text Lines
Online or Virtual Services
Information on Coping Strategies
Support for Children and Families
Support of Older Adults
Support for First Responders or Essential Workers
Other
How confident are you that children and youth in your household or community would have access to emotional or mental health support following a disaster?
Very Confident
Somewhat Confident
Not Very Confident
Not Confident At All
Not Applicable
Overall, how prepared do you believe our community is to address emotional and mental health needs following a disaster?
Very Prepared
Somewhat Prepared
Not Very Prepared
Not Prepared At All
Unsure
Are there specific populations in the community you believe may need additional support following a disaster? (select all that apply)
Older Adults
Children and Youth
People with Disabilities
People with Limited English Proficiency
Individuals with Pre-existing Mental Health Conditions
Individuals with Substance Use Disorders
People Experiencing Homelessness
First Responders
Caregivers
Other
What strengths or resources in the community could help support wellbeing following a disaster? (select up to three)
Community Organizations
Faith-Based Groups
Schools
Healthcare Providers
Neighborhood Networks
Volunteers
Not Sure
Other
What is one thing our community should prioritize to improve emotional and mental health support following disasters?
Is there anything else you would like planners to consider regarding emotional and mental health needs following disasters?
Submit
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