How old are you?
What is your gender?
What state do you live in?
How often do you experience anxiety?
What are the sources of your anxiety?
Are you currently experiencing or have you survived trauma?
If yes, what is the source of the trauma?
Do you currently go to therapy?
Do you attend therapy in person or online?
If you selected “a mix of the two”, do you have a preference between them?
Have you ever used a text message or app-based therapy?
Have you received a formal diagnosis for a mental health condition?
Have you ever diagnosed yourself with a mental health condition?
What sources did you use to diagnose yourself? Click all that apply:
Do you take any medication related to your mental health or have you in the past?
Is it or has it been helpful?
What coping strategies have you relied most heavily on during the pandemic?
What keeps you going?
Have you ever self-medicated to deal with mental health issues?
If so, how?
What do you need right now that you don't have in relation to your own wellness?
Do you talk about your mental health with friends? With family?
How much do you feel supported for your mental health by your family/friends/school/employers?
Have you ever cut off or severely limited contact with a family member for mental health reasons?
If so, who and why?

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