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Men's Health Survey
Are there areas in your life that you would like to learn about? HERO'S Alliance envisions a community where all people experience well-being and a sense of belonging. The intention of this brief survey is to gather feedback on what types of programs would best support a men's health initiative in the community.
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* Indicates required question
Age Range
*
15-24
25-64
65 and over
Perfer not to answer
Other:
Does Lac du Bonnet have the resources/services to support your health? Check the answer that best matches.
yes
no
Do not know
physical health
mental health
sense of connection
yes
no
Do not know
physical health
mental health
sense of connection
Clear selection
Are there any barriers to accessing community-based services or activities for you? If so, what are they?
Your answer
Topics of Interest
Would you be interested in learning about any of the following topics?
*
No, not interested
Possibly
Yes
Men's Physical Health
Men's Mental Health
Parenting & Fatherhood
Building healthy relationships & meaningful connections
No, not interested
Possibly
Yes
Men's Physical Health
Men's Mental Health
Parenting & Fatherhood
Building healthy relationships & meaningful connections
Any specific topic(s) of
physical health
that you would be interested in knowing more about?
Your answer
Any specific topic of
mental health
?
For example: anxiety, frustration, anger, problem solving, helpful & balanced thinking, trauma...etc.
Your answer
Any specific topic of
parenting & fatherhood
?
Your answer
Any specific topic of building
healthy relationships
and
meaningful connections
?
Your answer
How would you be most comfortable attending events or activities for any of the topics above?
In-person
Virtual (e.g Zoom or Teams that requires an internet connection.)
Either is fine
Clear selection
Is there a service, resource or activity that may be missing in our community?
Your answer
Is there anything else you would like to add?
Your answer
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