1. What is your age? *

18-19

20-21

22-24

25-29

30-35

Prefer not to say

3. What gender do you identify with? *

Select all that apply.

Female

Male

Non-binary

Transgender

Other

Prefer not to say

4. Do you identify with a minority group? *

Yes

No

Prefer not to say

5. What best describes your current situation? *

Select all that apply.

Student

Employed

Unemployed

Other

Prefer not to say

7. Are you aware of any in-person programs or services available for young adults (18-35 years) with traumatic brain injury in your area? *

Yes

No

Not Sure

Prefer not to say

8. Have your ever attended a Keep Your Head Up in-person program or event? *

Yes

No

Prefer not to say

9. What are some reasons why you have not attended or would prevent you from attending a Keep Your Head Up Program or Event? *

I did not know about the programs

I was not sure if the program was meant for me

I was not available at the time

The location of the program or event was hard to get to, confusing, and/or unclear

I did not feel comfortable attending alone

I was not sure what the program would involve

I had other responsibilities (work, caregiving, etc.)

Other

Prefer not to say

13. What are some reasons you might want to take part in a program like this? *

Select all that apply.

To connect with others

To try something new

To support my recovery

To build routines or structure

To have fun and relax

Other

Prefer not to say

14. Which of the following would motivate you to attend an in-person program? *

Select all that apply.

Option to bring a friend

Receiving information before hand on what to expect

Transportation fee coverage

Scheduled breaks

Pictures of the environment/space you will be in

More details on who the programs are for

Prefer not to say

15. What are some things that make it harder for you to join in-person programs or events? *

Select all that apply.

Brain injury symptoms (e.g., fatigue, headaches, dizziness, etc.)

Sensory challenges (e.g., noise, lights, busy spaces)

Anxiety or uncertainty

Physically accessibility or mobility changes

Travel/transportation issues

Timing/scheduling conflicts

Financial cost

Other responsibilities

I'm not sure

Other

Prefer not to say

16. What times are usually best for you to attend programs? *

Select all that apply.

Weekdays

Weekends

Morning (9 AM - 11 AM)

Afternoon (12 PM - 5 PM)

Evening (6 PM - 8PM)

Prefer not to say

18. What area in the Waterloo Region would you prefer in-person programming to be held in? *

Waterloo

Kitchener

Cambridge

Prefer not to say

19. Where do you usually get updates about local events or programs? *

Select all that apply.

Social Media

Word-of-mouth

Email (Newsletters, reminders)

Posters or flyers in the community

Through a family member or support person

From a healthcare provider

Other

Prefer not to say