1. Do you have any formal policies regarding mental health and addictions in the workplace?

Yes (If possible and convenient, please provide a link below)
No

Comments if desired:

2. Does your senior (top-level) management team have an understanding of mental health and addiction issues in the workplace? (Please rate)

Excellent
Good
Fair
Poor
None

Comments if desired:

3. What mental health resources and/or services are used in your workplace? (Please list, or if more convenient, provide a link)

4. Does your organization try to measure the incidence and/or impact of mental health and addiction issues in your workplace?

5. What mental health and addiction resources or services do you not have but wish you did?

6. If you listed anything in #5 above, do you believe that CMHA Peel should be involved in delivering any of these services?

Yes     If yes, which?
No
Don't know

7. Please provide contact information for the person mainly responsible for completing this questionnaire.

8. Would someone from your organization be willing to participate in a CMHA Peel focus group discussion of issues regarding mental health and addictions in the workplace (maximum two hours, likely late afternoon or early evening with light dinner provided)?

Yes     Contact
No