My Story Survey

MY STORY

Thank you for sharing your mental health story with us. It will help us gain a greater understanding of the mental health issues and challenges faced by everyday Australians, and advocate for improvements in Australia’s mental healthcare system.

The survey contains a few questions to help us collect some basic information and support you to share your story. None of these questions are compulsory, and if you just want to write your story in your own words, there’s a space to do that in the final question.

Please note Australians for Mental Health will never use your image, personal details or story without your prior consent.

1.I give permission for Australians for Mental Health to use the following details to contact me:

Name

Postcode

Phone

4.If you sought help from a mental health professional, how long did it take for you to get an appointment?

Please share your experience of mental health waitlists in Australia:

5.Have you/the person spent any time within a mental health facility?

Yes

If you answered Yes to this question, what was your experience of the level of care and support that was received?

7.Please share with us in your own words what difference it would make to you if there was more access to mental health care, and ways to track and reduce the mental health care waitlists:

8.Please share with us any other information about your experience, or use this section to write your experience in your own words:

9.Please use the check boxes below to provide AFMH with your privacy permissions:

I give permission for Australians for Mental Health to use my story in communications

I give permission for Australians for Mental Health to identify me as the author of my story in communications

I give permission for Australians for Mental Health to use any images I provide to accompany my story in communications

Other (please specify)

None of the above