Partners and Family of Ex-emergency Services/First Responder Survey

Pro Patria Centre (PPC) is a multidisciplinary wellbeing centre focused on developing self-agency in veterans, first responders and their families.

This survey will assist the PPC to identify and develop ongoing wellbeing programs and services to better meet the wellbeing needs of the current and ex-emergency personnel community.
1.Please enter your postcode (Required.)
2.What is your age?

(Required.)
3.Gender

(Required.)
4.How many years of service did/does your partner or family have in an emergency services/first responder role?

(Required.)
5.What type of health conditions are you aware that you have?

(Required.)
6.What is your current housing situation?

(Required.)
7.What is your annual income?

(Required.)
8.Have you or someone you know felt suicidal in the past 2 years?

(Required.)
9.Has your ex-services partner/family member been hospitalised as a result of an injury acquired during service?

(Required.)
10.How far does your ex-service partner/family member travel for appointments with a medical specialist/treatment provider?

(Required.)
11.How often do you travel away from your home region to attend health services and specialists in a year?

(Required.)
12.What mode of travel do you use when attending health services outside of your home region?

(Required.)
13.Thinking about the occasions you have travelled to receive to health services, what impact has this had on your partner and /or family?

(Required.)
1 - No impact
Disruptive impact
14.Are you aware that there are services that can help with transport to attend medical appointments?

(Required.)
15.Are there sufficient support services in your local community for ex-emergency service personnel?(Required.)
Insufficient 
Sufficient
Well serviced
Physical support services
Mental support services
Social support services 
16.Are there sufficient support services in your local community for the partners and family members of ex-emergency service personnel?(Required.)
Insufficient 
Sufficient
Well serviced
Physical support services
Mental support services
Social support services 
17.Are you currently connected to other individuals in similar situations to yours? (i.e. individuals that are friends, family, or partners to an ex-emergency services personnel)

(Required.)
18.Would access to an online networking hub with other individuals in similar situations be beneficial to your overall wellbeing?

19.Would you be interested in sharing more information with our research team in the form of an interview?

20.*OPTIONAL* If you are interested in an interview, please fill in your contact details below (e.g. name, phone number, email address)

21.Is there anything else you would like for us to know about your current situation?