MIND MATTERS | Michael's Template 1

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Use tab to navigate through the menu items.

First name

Last name

Street Address*

City

State

Postal/Zip Code

County*

Mobile Number*

Email

Have you attended any of the Mind Matters session in the past?*

Yes

No

Are you a Fulton County Resident?*

Yes

No

Have you ever received mental health counseling?*

Yes

No

Are you currently receiving mental health counseling services?*

Yes

No

Are you actively seeking emergency mental health services? *

Yes

No

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