Pre-Conversation Input - The Great Reset
You are part of a larger group of people through the country taking part in The Great Reset.

The key pillars of The Great Reset are to have conversations that afford the opportunity to share with humility and listen with respect. There is no agenda. The intention is to empower everyone to engage in conversation.

These surveys are intended to help us build better conversations and make them more compelling to people. We believe the more people talking, and the more people willing to listen leads to better and stronger communities.

Again, thank you for taking part in the conversation. Your participation is imperative to bring us all just a bit closer together.

Email address *
Date of upcoming conversation (if you are not going to be participating in a conversation fill in with the first day of the current month and year) *
MM
/
DD
/
YYYY
Location *
Your gender: *
Your age:
The topic this month is Mental Healthcare . How comfortable do you feel talking about this topic? 1= not at all and 5= very comfortable *
Do you feel Mental Healthcare is stigmatized? *
Not at all
Absolutely
How is the United States doing managing Mental Healthcare *
Not well at all
Very well
Please elaborate, on your previous response, regarding how well the United States is doing managing Mental Healthcare.
Your answer
Is it best to manage Mental Healthcare proactively or reactively? Note scale 1= proactively and 5= reactively *
Proactively
Reactively
Regarding your previous answer, why do you feel it's best to manage Mental Healthcare in that way (either proactively or reactively)?
Your answer
Is Mental Healthcare a right, or a privilege? *
Required
If you answered 'depends' to 'Is Mental Healthcare a right or a privilege', please elaborate, otherwise skip.
Your answer
Should Mental Healthcare be covered for all? *
If you answered, 'it depends' to 'Should Mental Healthcare be covered for all', please elaborate.
Your answer
Which of the following topics interest you most for future conversations? Choose all that apply *
Required
When was the last time you had a deep conversation, about a relevant topic, with someone of a very different opinion?
I can't recall
Frequently
Any additional comments about The Great Reset?
Your answer
Is there anyone, other than you, you think would like to participate in The Great Reset? (If yes, name, email and phone - if no, please leave blank)
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service