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MENTAL HEALTH This is a survey of 11 short questions (choice of answers)

This survey relates to any person suffering from a mental disorder or any person responsible for the care of a person affected by this disorder. We refer here to the DSM which list, among others, the following disorders: post-traumatic stress disorder (PTSD), autism spectrum disorders, anxiety disorder, attention deficit disorder - hyperactivity (TDA-H), etc. If your profile of mental health, or that of a close, is consistent with this description, please fill out this survey.
Thank you in advance for your serious and your sincerity.
All your data will remain anonymous throughout the process.

mandatory answer

Question 1

Designated person's age?

uncheck

mandatory answer

Question 2

What is the designated person's social status?
(with several choices possible)

mandatory answer

Question 3

Check the mental disorder(s) associated with the designated person
(with several choices possible)

mandatory answer

Question 4

In everyday's life, what lives the designated person?
(with several choices possible)

mandatory answer

Question 5

Among the tools below, specify which ensure, according to you, the success of the social insertion of a person suffering from a mental disorder (as for its integration at work, at school or in its family environment)
(with several choices possible)

mandatory answer

Question 6

Physical activity practiced, in the last year, by the designated person
(with several choices possible)

mandatory answer

Question 7

IF YOU ANSWERED "No physical activity" TO QUESTION 6, CHOOSE "Do not apply" AND GO DIRECTLY TO QUESTION 8.
OTHERWISE, what are the designated person's main motivations to do physical activity?
(with several choices possible)

mandatory answer

Question 8

IF YOU ANSWERED "No physical activity" TO QUESTION 6:
Why physical activity is absent from everyday's life?
(several answers possible)
OTHERWISE, CHOOSE "Do not apply"

mandatory answer

Question 9

Overall, to what extent or degree is the involvement of the person designated in the approach of his social integration?

uncheck

mandatory answer

Question 10

On a scale of 1 to 10, for now, at what level is the designated person in the success of its social inclusion?
1 being "not functional "
10 being "social insertion is successful"

mandatory answer

Question 11

The presence of a service dog can promote the state of well-being, allow the social insertion of a person and encourage the person's autonomy. But having a dog also request an everyday commitment.
After reading this description, what opinion do you have about having a service dog as an option for the designated person in this survey?

uncheck



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