Mental Wellbeing Survey - Aspire Counseling Services

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Available 24/7 (888) 585-7373

Home
Our Services
- Substance Use Disorder
- Behavioral Health
Locations
Staff
About ACS
Careers
Resources
Contact

Mental Wellbeing Survey

Step 1 of 10

10%

X/Twitter

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Phone(Required)

Email(Required)

Please indicate your age(Required)

Please enter a number from 1 to 100.

Gender(Required)

Male

Female

I prefer not to say

I would like to be contacted regarding my results and options.(Required)

Yes, I would.

No, I would not.

Please tick the box that best described your experience of each over the last 2 weeks.

I've been feeling optimistic about the future

None of the time

Rarely

Some of the time

Often

All of the time

I've been feeling useful

None of the time

Rarely

Some of the time

Often

All of the time

I've been feeling interested in other people

None of the time

Rarely

Some of the time

Often

All of the time

I've been feeling relaxed

None of the time

Rarely

Some of the time

Often

All of the time

I've had energy to spare

None of the time

Rarely

Some of the time

Often

All of the time

I've been dealing with problems well

None of the time

Rarely

Some of the time

Often

All of the time

I've been feeling good about myself

None of the time

Rarely

Some of the time

Often

All of the time

I've been thinking clearly

None of the time

Rarely

Some of the time

Often

All of the time

I've been feeling close to other people

None of the time

Rarely

Some of the time

Often

All of the time

I've been feeling confident

None of the time

Rarely

Some of the time

Often

All of the time

I've been able to make up my own mind about things

None of the time

Rarely

Some of the time

Often

All of the time

I've been feeling loved

None of the time

Rarely

Some of the time

Often

All of the time

I've been interested in new things

None of the time

Rarely

Some of the time

Often

All of the time

I've been feeling cheerful

None of the time

Rarely

Some of the time

Often

All of the time

I would like to be contacted regarding my results and options.(Required)

Yes

No

Self-Help Support Groups & Resources

Kern County

Kern County Narcotics Anonymous meeting directory

Kern County Alcoholics Anonymous meeting directory

Kern County Al-Anon meeting directory

San Luis Obispo County

Dr. Katy Dolezal

Transitions Mental Health Association

SLO Alcohol Anonymous

SLO Narcotics Anonymous

Ventura County

NAMI Ventura County

Clinicas Del Camino Real, INC

I’m Alive

Additional Resources

Medhelp online addiction support group

Celebrate Recovery group locator

SMART Recovery

Online AA meetings

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VICTORVILLE, CA

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Planting Seeds, Saving Lives

Available 24/7 (888) 585-7373

FOLLOW US ON SOCIAL MEDIA

MENU

HOME
OUR SERVICES
LOCATIONS
ABOUT ACS
CAREERS
RESOURCES
CONTACT US
ASPIRE MERCH

LOCATIONS

ACS BAKERSFIELD
ABH BAKERSFIELD
FRESNO
PHOENIX
SANTA CLARITA
SAN LUIS OBISPO
SIMI VALLEY
VICTORVILLE

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