beyondblue hopes that you found hearing a personal story valuable and interesting. Evaluating the impact beyondblue’s Speaker program has on stigma around depression and anxiety in the Australian community is important to beyondblue. The following survey asks you to agree or disagree with nineteen statements about depression and anxiety, so that general levels of stigma in an audience that has heard a beyondblue speaker share a personal story can be directly compared to general levels of stigma in the Australian community as reported in beyondblue’s depression monitor. Thank you for your time!

* 1. Date of event

Date

* 2. Name of organisation holding speaking event

* 3. Name of speaker (if known)

* 4. What is your gender?

* 5. What is your age group?

* 6. Please indicate how much you agree or disagree with the following statements. We appreciate your time and thank you for assisting beyondblue to further improve our speaker program.

  Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree Unsure / Prefer not to say
People with depression are unpredictable
If I had depression I would not tell anyone
I would not vote for a politician if I knew they had suffered from depression
I would not employ someone if I knew they had depression
People with depression are dangerous
People with depression could snap out of it if they wanted
Depression is a sign of personal weakness
Depression is not a real medical illness
It is best to avoid people with depression so that you don’t develop this problem
People with anxiety are unstable
Anxiety is not a real medical illness
People with anxiety do not make suitable employees
People with anxiety could snap out of it if they wanted to
People with anxiety are a danger to others
People with anxiety are self-centered
Anxiety is a sign of personal weakness
People with anxiety should be ashamed of themselves
People with anxiety are to blame for their problem
People with anxiety are just lazy

* 7. Any further comments?

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