Feedback and Request Form for City of Houston Youth Mental Health Guide

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Are you interested in spreading word about the City of Houston (COH) Youth Mental Health Guide? What do you think about the guide? Please provide your feedback so we can better present and improve the information on the guide, and let us know if you need any promotional materials :)

Your responses will help create stronger mental health support for Houston youth.

Find the COH Youth Mental Health Guide in English, Spanish and Vietnamese at: www.houstontx.gov/education/youth-engagement/youth-mental-health-guide.html

How did you learn about the mental health guide?

Cell Phone (Texts)

Press Release or News Article

School/District Official (School Email, Teacher, Principal, etc.)

Friend/Peer

Family Member/Parent/Guardian/Caretaker

Employer/Co-Worker/Colleague

Social Media (Instagram, Facebook, Tiktok, etc)

Virtual Presentation

Other:

How useful did you find the information in the Youth Mental Health Guide?

Not useful at all

Extremely useful

How organized, clear and easy to read is the Youth Mental Health Guide for you?

Not clear or organized or difficult to read

Very organized, clear and easy to read

What part of the guide did you find the most useful?

Part 1: Introduction

Part 2: Building A Support Network

Part 3: Connecting to Care

Part 4: Resource Guide

Part 5: Activities

Did not consider any of the parts helpful

What is your favorite thing about the guide? Are there any specific sections of the guide you enjoy or found the MOST useful?

What, if anything, would you suggest to improve the guide?

How likely are you to share the mental health guide with your friends and family?

I.e. video presentation, infographics, or social media posts

Not at all likely

Very likely

Any other comments or questions you would like to add?

Would you like to request copies of the COH Mental Health Guide, posters, postcards or brochures? *

Pick-ups dates will be at City Hall, if you mark yes we will send you more info of when and how to pick them up.

Yes, I want to request a physical copy of the guide and/or materials

Yes, I already received Guide/s or materials AND would like to request additional materials

No, I am not interested in receiving a guide nor any materials

Other:

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms