Mental Health Literacy Questionnaire Form
Please complete this questionnaire about mental health literacy, your current understanding, and the kinds of educational resources you find most helpful.
Respondent Profile
Full Name
*
First Name
Middle Name
Last Name
Age Group
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55+
Email Address
example@example.com
Mental Health Knowledge Check
How would you rate your overall understanding of mental health topics?
*
Very low
1
2
3
4
Very high
5
1 is Very low, 5 is Very high
How familiar are you with common signs or symptoms of mental health concerns?
*
Not at all familiar
Slightly familiar
Moderately familiar
Very familiar
Extremely familiar
Which sources do you trust for mental health information?
Licensed mental health professionals
Primary care or community health providers
Government health websites
University or research-based resources
Mental health charities or nonprofit organizations
School or workplace wellbeing programs
Peer-reviewed articles
Support groups or lived-experience organizations
Other
How confident are you in recognizing when someone may need mental health support?
*
Not confident
Slightly confident
Moderately confident
Very confident
Extremely confident
Help-Seeking and Education Preferences
Preferred learning format for mental health information
*
Articles
Short videos
Workshops
One-on-one guidance
Other
Topics you want to learn more about
Preferred way to receive follow-up resources
Please Select
Email
Text message
Phone call
No follow-up
Other
Submit
Should be Empty: