Is it okay to leave a phone message? Yes
How do you identify your cultural background? This information will increase our awareness of specific cultural concerns and practices, and help us identify who we are reaching with this program.
African Nova Scotian
The person with a mental health/addiction problem or illness is your: Child
Age of the person you are supporting Under 19
What is the mental health/addiction problem or illness? Please check all that apply: Psychosis
Drug/alcohol addiction/gambling or gaming
Obsessive Compulsive Disorder
How did you hear about this program? Poster
Community Health Team
Mental Health Professional
Do you consent to being contacted within the next 12 months for a follow up evaluation? Yes
Are you able to attend an online version of this program via Zoom if an in-person program is not available?
== choose one ==