Mental Health Association of Onondaga County
6493 Ridings Road, Suite 112
Syracuse, New York 13206
Email: requests@mha-oc.org
Phone: (315) 445-5606 | Fax: (315) 445-1828

This is a voluntary annonymous survey that is requested by our funders and government contractors.
We kindly ask that you fill it out as it helps us inform these policy makers about the mental health needs of our community.
If you have filled it out previously or don't wish to participate for any reason please hit the submit button below and proceed to our website.
Thank you for your patience and help in collecting this important information to help better serve the community.

Zipcode:

Age:

Gender: Female  Male

Number of People in Household:

Ethnicity/Race:

Income Range:

Insurance:

Are you in the service, a veteran, or seeking information for a service member?:

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