Anonymous Community Health Services Survey

1
Gender* This field is required.Gender
male
female
2
Age* This field is required.
16–25
25–45
45+
3
Type a question* This field is required.Location
Bradford
4
Type a question* This field is required.Ethnicity
Pakistani
Bangali
Asian
African
White
Other
5
Type a question* This field is required.Religion
Muslim
Hindu
Christian
Other
6
Who would you feel most comfortable speaking to FIRST if facing a deep emotional or mental burden?* This field is required.
Family Member
Religious Leader/Imam
GP/Doctor
No one/I would keep it to myself
7
To what extent do you agree: “Mental health issues should be kept within the family to protect the family’s reputation (Izat).”* This field is required.
Strongly Agree
Agree
Disagree
Strongly Disagree
8
Do you believe that spiritual factors (Jinn, Nazr/Evil Eye, Black Magic) can be the primary cause of mental health difficulties?* This field is required.
Yes, definitely
Possibly
No
Unsure
9
If a family member sought professional help for addiction or depression, how worried would you be about the community finding out?* This field is required.
Very Worried
Somewhat Worried
Not Worried at All
10
Some people believe mental health struggles are a sign of weak faith or a test from God. Do you agree?* This field is required.
Yes, it is a sign of faith levels
No, it is a health issue like any other
It is a bit of both
11
Do you feel that 'Western' doctors and therapists truly understand the cultural and religious values of our community?* This field is required.
Yes, they understand well
They have some understanding
No, they don't understand at all
Unsure
12
If you or a family member needed help for addiction, which type of support would you trust the most?* This field is required.
Islamic counselling/faith-based support
NHS or private mental health services
Community-based support group
I would not seek help
13
How comfortable would you feel attending a support group for families dealing with addiction or mental health issues within your local community?* This field is required.
Very comfortable
Somewhat comfortable
Not comfortable
I would only attend if it was completely anonymous
14
Would you prefer support services that are:* This field is required.
Run by Muslims who understand our faith and culture
Run by professionals (Muslim or non-Muslim) with cultural awareness training
It doesn’t matter who runs it, as long as it is effective
15
How important is it for you that any support or counselling includes Islamic teachings and references to Quran and Hadith?* This field is required.
Very important
Somewhat important
Not important
I’m not sure
16
If you knew that a local service offered completely confidential, faith-sensitive support for addiction and mental health, how likely would you be to use it for yourself or a family member?* This field is required.
Very likely
Somewhat likely
Not likely
I don’t know
17
What would stop you from seeking help for addiction or mental health issues?* This field is required.
Fear of community gossip
Shame or embarrassment
Not trusting services to understand my faith/culture
Belief that it should be handled within the family
Not believing that professional help works
Other
18
What kind of support do you think is most needed in our community?* This field is required.
Education workshops about addiction and mental health
Support groups for families
One-to-one Islamic counselling
Youth programmes and mentoring
Imam and community leader training on mental health
Online/phone helpline
19
Privacy Notice: The Awakening Rehab C.I.C is collecting this information to help us understand people’s experiences and improve our services. The information in this survey will be kept as data and may be shared with other agencies and any data provided is totally voluntary. Your responses will be used for service improvement, monitoring, and reporting purposes, and will not be used to identify you. You may stop at any time.
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