Stay informed & Share your concerns
If you are interested in staying informed about the work we are doing and/or just learning about the issues around youth mental health, please fill out the form below. Your information will not be shared.
FIRST NAME *
Your answer
LAST NAME *
Your answer
EMAIL
Your answer
I AM *
Check all that apply.
Required
YOUTH AGES *
Check all that apply.
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CONCERNS & CHALLENGES *
What are you concerns currently with your child or children you are working with? Check all that apply.
Required
PRIORITY ISSUES *
What issues around mental health would be a priority for you to learn more about at our next mental wellness education night (check off below and feel free to add others)
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COMMENTS
Do you have questions, comments, resources you would like to share? If you would like someone to call you, please add your phone number here as well.
Your answer
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This form was created inside of Steidl Consulting.