Survey

Please fill out the information below

AGE GROUP:

under 18

19-29

30-39

40-49

50-59

60-69

70 and over

I use the Internet
(check all that apply)

To send and receive e-mail
To research a topic
To play games
To shop for retail items
To shop for personal services

Today I searched the web for
(check all that apply)

Mental health services
Mental health information
Substance abuse services
Substance abuse information
Research material
Other- please specify

What are your impressions of the following

Mental Health resource information


definitely use


might use


would not use

Substance Abuse resource information


definitely use


might use


would not use

Mental Health Assessment


definitely use


might use


would not use

Substance abuse assessment


definitely use


might use


would not use

Mental Health consultation through e-mail


definitely use


might use


would not use

Mental Health consultation through telephone


definitely use


might use


would not use

Mental Health consultation through
private chat rooms


definitely use


might use


would not use

Public chat rooms


definitely use


might use


would not use

Behavioral Assessment through e-mail


definitely use


might use


would not use

How often do you read self-help/psychological material?


always


often


sometimes


rarely


never

Would you like to see reader reviews of current publications?


always


often


sometimes


rarely


never

What topics are of the most interest to you?:

Have you ever-sought help through an
online therapy service?


Yes



No


If yes, what did you think about the experience?:

Would you use a public chat room if one of the Global Therapy professionals participated in the group?


Yes



No


Do you have any comments or suggestions about this proposed service?:

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