Questionnaire | New Hanover County Mental Health

Who are you seeking support for today?

Myself

Someone I Care About Child, partner, friend, etc.

Start Here

Concerns Next

Relationship Next

What are you currently experiencing? Choose all that apply

Feeling anxious, depressed, or emotionally overwhelmed

Difficulty managing daily tasks or relationships

Struggling with alcohol or substance use

I’m not sure – I just know something feels off

I’m in crisis, danger, or having thoughts of harming myself*

I need food, housing, financial help, legal help, or a safe place to go

About Previous

Support Next

What kind of support would feel most helpful right now? Choose all that apply

Talking to someone now *

Finding a mental health professional

Finding a substance use disorder professional

Learning how to cope or feel better

Joining a support group

Just looking for information right now

I’m not sure where to start or if I need help

Other resources

Concerns Previous

Help Next

Is there any additional help you need? Choose all that apply

Housing

Food

Medical

Physical Safety

Legal

Financial

Intellectual disability support

None of the above

Support Previous

Situations Next

Do any of these situations apply? Choose all that apply

I need language translation.

I need help with transportation.

I need flexible operating hours.

None of the above

Help Previous

Summary Next

What is your relationship to them?

Partner or Spouse

Friend

Family Member

Coworker

Neighbor

Other

About Previous

Age Next

Is the person you’re seeking support for a child under 18 years old?

Yes

No

Relationship Previous

Concerns Next

What are you most concerned about? Choose all that apply

I suspect they may be struggling with their mental health

I suspect they may be struggling with alcohol or substance use

They won’t accept help or have pushed me away

They need food, housing, financial help, legal help, or a safe place to go

They’re in crisis or danger*

Age Previous

Other Needs Next

Is there any additional help they need? Choose all that apply

Housing

Food

Medical

Physical Safety

Legal

Financial

Intellectual disability support

None of the above

Concerns Previous

Situations Next

Do any of these situations apply? Choose all that apply

They need language translation.

They need help with transportation.

They need flexible operating hours.

None of the above

Help Previous

Support Next

What kind of support do you need right now? Choose all that apply

Talk to a professional on a helpline

Learn how to help while still caring for myself

Connect with others going through the same thing

Find support for my own well-being

Help with navigating support resources for the person I care about

Situations Previous

Summary Next

Find resources and support right here in New Hanover County

Find Resources Right Here in New Hanover County