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Winnunga Nimmityjah Aboriginal Health Service, Culture Care Connect Program

Mental Health Questionnaire

This questionnaire aims to gather insights on Mental Health and Suicide Prevention/ Intervention or after care experiences, including post suicide support within the ACT Region, including: Queanbeyan, and Yass. The questionnaire places a strong focus on accessibility, effectiveness, and cultural safety of services we need to access.
The information will help identify service gaps, improve support programs and design culturally safe community led initiatives.
All information is shared is kept confidential and contributes to building a program that is responsive to the local community needs.
1.What is you gender?
2.What is your age range?
3.In the past 12 months, have you struggled with your mental health
4.In the past 12 months, have you felt any of the following?
5.In the past 12 months, have you thought about seeking help for your mental health?
6.If you wanted support, did you know where to go or who to ask for help?
7.Have you accessed any of the following support services for your mental health in the past 12 months? (Tick all that apply)
8.If you accessed support for your mental health that is not listed, please specify.
9.If you did not access support, can please share why? (Tick all that apply)
10.Did you find the service(s) culturally safe and respectful?
11.If you found the service to be culturally unsafe and disrespectful, can you please share your experience?
12.When you accessed the service(s), did you feel supported and understood?
13.If you didn't feel supported and understood, can you please share your experience?
14.What was helpful about the service(s)
15.What wasn't helpful about the service(s) (Tick all that apply)
16.Would you feel more comfortable talking with someone from your family or community about mental health?
17.Do you think there are enough culturally safe mental health services in your area?
18.What mental health support do you think is missing from community?
19.In the past 12 months, have you or someone you know thought about suicide?
20.Did you or the person seek help?
21.If support was accessed, and it was not helpful, can you please share your experience?
22.If you or someone you know has thought about suicide in the past 12 months, and you would like to access support, from Winnunga's Culture Care Connect Program, please provide your name and best contact number.
23.What do you think would have made it easier to get help or support?
24.What would make mental health services better for you or the community?
25.Would you like more mental health and wellbeing workshops or programs delivered in community
26.Do you have any other thoughts or ideas about ways to improve mental health and suicide prevention in community?
27.Would you like to stay involved and up to date with the Culture Care Connect Program? Please provide email in text box below: