Global Therapy Survey
AGE GROUP:
under 18
 19-29
 30-39
40-49
 50-59
 60-69
 70 and over
I use the Internet
(check all that apply) 		To send and receive e-mail
To research a topic
To play games
To shop for retail items
To shop for personal services
Today I searched the web for
(check all that apply) 		Mental health services
Mental health information
Substance abuse services
Substance abuse information
Research material
Other- please specify

What are your impressions of the following
Mental Health resource information

definitely use

might use

would not use
Substance Abuse resource information

definitely use

might use

would not use
Mental Health Assessment

definitely use

might use

would not use
Substance abuse assessment

definitely use

might use

would not use
Mental Health consultation
through e-mail

definitely use

might use

would not use
Mental Health consultation through telephone

definitely use

might use

would not use
Mental Health consultation through private chat rooms

definitely use

might use

would not use
Public chat rooms

definitely use

might use

would not use
Behavioral Assessment
through e-mail

definitely use

might use

would not use
How often do you read self-help/psychological material?

always

often

sometimes

rarely

never
Would you like to see reader reviews of current publications?

always

often

sometimes

rarely

never
What topics are of the most interest to you?:
Have you ever-sought help through an online therapy service?

Yes

No
If yes, what did you think about the experience?:
Would you use a public chat room if one of the Global Therapy professionals participated in the group?

Yes

No
Do you have any comments or suggestions about this proposed service?:

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Global Therapy Inc. 4023 N. Armenia Ave Suite 102 Tampa, Fl 33607
Phone: 813-871-2232 Fax: 813-301-8313
Donna@Global-Therapy.com

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