Parent Needs Assessment Survey

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

This survey is designed to assist Hubs gather and process data relevant to the Coordinated Community Supports Partnerships initiative. This data will support the development of propsals by Hubs to form future Community Supports Partnerships.

We are seeking feedback from parents and caregivers to better understand the mental health and wellness needs of students and families in the Washington County area. Your responses are confidential and will help us improve support and services available in schools and the community.

Supported by the Maryland Community Health Resources Commission and Maryland Consortium on Coordinated Community Supports. The views presented here are those of the grantee organization and not necessarily those of the Commission or Consortium.

What is the gender of your child?

Female

Male

Nonbinary

Transgender

Prefer not to say

Other:

Clear selection

How do you identify the the race or ethnicity of your child?

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or other Pacific Islander

White

Two or more races

Prefer not to say

What grade is your child currently in?

Elementary (K-5th grade)

Middle School (6th-8th grade)

High School (9th-12th grade)

Clear selection

If your comfortable and willing to share. What school does your child attend?

How would you describe your child’s general mood and emotional well-being?

Very positive

Generally positive

Netural

Sometimes struggles

Often Struggles

Clear selection

How comfortable is your child talking to you about their feelings or problems?

Very comfortable

Somewhat comfortable

Not very comfortable

Not comfortable at all

Clear selection

How knowledgeable or aware are you in regard to mental health services or supports offered through your child’s school? ( 1= not at all, 5= very much)

Clear selection

What challenges, if any, have you faced in accessing mental health support for your child?

Cost/insurance issues

Transportation

Scheduling

Privacy concerns

Unsure where to go

Stigma (fear of judgment)

Other:

What behavioral health (mental health and/or substance use) concerns do you think are most pressing for students?

Anxiety

Attention/hyperactivity

Bullying

Depression/suicidal ideation

Disordered eating

Grief/loss

Oppositional or conduct problems/anger management

Psychosis (halluciantions, delusions)

Healthy relationships

Social and emotional skills/ character development

Substance use (alcohol, tobacco, drugs)

Taruma/PTSD/abuse/neglect/exposure to violence

Other:

What behavioral health (mental health and /or substance use) programming and strategies have you identified that have worked well?

Family-based therapy.

Parent training.

Screening and early intervention.

Trauma-informed care.

Case Management

Accessible educational materials.

Bereavement and grief support services.

Family peer support.

Crisis services

Support groups

Mentoring

Other:

What recommendations do you have for improving behavioral health education and services in your child's school?

Teacher training.

Parent and school communication.

Increasing staffing and accommodations.

Offering comprehensive family programs.

Reducing stigma and enhanced awareness.

Support groups.

Therapy.

Normalize conversations about mental health

Teach and practice mindfulness

Other:

What do you and your family wish that your child's school would do better to engage and meaningfully involve families in student behavioral health?

Improving communication.

Removing systemic barriers.

Offering diverse involvement opportunities.

Building a trusting and inclusive environment.

Creating a more welcoming, trauma-sensitive environment.

Empowerment and validation (Respect parent knowledge,Recognize the family's central role).

Other:

Is there anything else you would like to share about your child’s mental health needs or experiences with school support?

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Washington County Mental Health Authority, Inc..

Does this form look suspicious? Report

Forms