Mental Health Questionnaire
This is a survey about Mental Heath! It should take 3-7 minutes to complete this questionnaire. Please answer the questions honestly.
1. How old are you? *
Your answer
2. What country and state do you live in? (If you prefer not to say, leave blank.)
Your answer
3. What mental illness do you struggle with? (If you have multiple diagnoses, check the ones that apply to you.) *
Required
4. Do you Self-harm? *
5. Do you tend to have suicidal thoughts? *
6. Are you seeking professional help and(or) taking medication? *
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