Resource Specialist User Survey

Did our Resource Specialist help you with the situation you inquired about?

Yes

How did the Resource Specialist help?

(please check all that apply)

Recommended a mental health provider (e.g., therapist, psychiatrist, clinic, etc.)

Recommended other resources (website, support group, advocate, etc.)

Provided tips for managing the situation

Listened and offered moral support

Other

Can You Explain "Other"?

How satisfied are you with the help you received from the Resource Specialist?

Not at all satisfied	A little satisfied	Satisfied	Very satisfied

Did you use any of the providers, services, or other resources recommended by the Resource Specialist?

Yes

How satisfied are you with the recommended providers/resources?

Do you have any additional comments or feedback for us?

Your name (optional):

Your email (optional):

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www.rtor.org and its sponsor Laurel House, Inc. are committed to advancing racial equity and social justice and making mental health services accessible to all. To aid us in this goal, would you be willing to share some optional information about the person needing help (you or your family member/loved one)?

Race/ethnicity:

Why we ask for this information. Many foundations that support Laurel House and this website ask about the race, ethnicity, age, and gender of those who use our services to ensure that historically underserved groups will be equitably served in the future.

Thank you for taking the time to complete this survey. Your feedback helps us improve our services.

www.rtor.org is a free service of Laurel House, Inc., a 501 (c)(3) nonprofit organization.

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