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* 1. What is your age?

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* 2. What is your gender?

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* 3. Have you ever experienced a mental health issue?

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* 4. Have you ever been diagnosed with a mental health issue?

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* 5. If you are comfortable, please provide a brief overview of the symptoms and issues you've faced.

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* 6. Have you ever accessed treatment?

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* 7. Have you ever used non traditional treatments/support such as well being, mindfulness or user guided platforms?

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* 8. Would you be willing for us to contact you in order to hold a confidential chat? (about 15 minutes, via email or phone)
If so, please provide your email in the comment box

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* 9. With more information, would you be interested in joining a focus group to provide feedback and assist with the development of new mental health services?
If so, please leave your email in the comment box below.

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* 10. If there is are other comment you wish to let us know about your mental health and experiences with accessing support, please enter it in the comment box below. 

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