Choma Survey

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Step 1 of 6

I have read and understood the purpose of the survey, my responsibilities as a participant, the estimated duration, and the voluntary nature of my participation.

I consent

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I confirm that I am 18 and above

This survey is intended for individuals 18 years and older. Some of the questions in the survey may trigger an emotional response for you. Links to supportive services have been included in the survey

1. Age

Selected Age: 18

2. Sex

3. Gender

4. Sexuality

5. Race

6. Employment Status

7. Source of Income

8. In which province do you live?

Save & Resume Later

Choma Survey

If you are experiencing mental health concerns, please contact a healthcare provider or support service such as:
- The Suicide Crisis Line: 0800 567 567
- Directory of Suicide support services

- The South African Depression and Anxiety Group

If you feel that you or a loved one may be experiencing post-natal depression, please refer to the following information about symptoms and support

Choma Survey

If you are experiencing mental health concerns, please contact a healthcare provider or support service such as: - The Suicide Crisis Line: 0800 567 567 - Directory of Suicide support services

- The South African Depression and Anxiety Group

If you feel that you or a loved one may be experiencing post-natal depression, please refer to the following information about symptoms and support

If you are experiencing mental health concerns, please contact a healthcare provider or support service such as:
- The Suicide Crisis Line: 0800 567 567
- Directory of Suicide support services