APMA Membership Survey

Question Title

* 1. I am participating in this survey as:

A person with chronic pain

A carer, family or friend

A health care provider

Other

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* 2. What is your age?

16 - 24 years

25 - 34 years

35 - 44 years

45 - 54 years

55 - 64 years

65 - 74 years

75 + years

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* 3. What is your postcode number?

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* 4. Which gender do you identify with?

Female

Male

Non-binary

Other

I prefer not to respond

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* 5. Do you identify with any of these communities? (please select all that apply)

Aboriginal &/or Torres Strait Islander

Culturally &/or linguistically diverse

Disabled

LGBTQI+

Neurodivergent (i.e ADHD, Autism, learning differences)

Prefer not to disclose

None of the above

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* 6. Are you currently employed?

Full time employment

Part time / casual employment

Self employed

Unemployed

Other

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* 7. Do you currently receive support or assistance through:

Carer's Allowance

Centrelink Assistance

Close the Gap (First Nations')

Department of Veterans' Affairs

Disability Support Pension

Income Protection

National Disability Insurance Agency

Private Health Funds (eg. NIB etc)

Study Assistance

Work Cover / Workers Compensation / Third Party (CTP)

Other

I prefer not to answer

None of the above

Question Title

* 8. Which APMA services do you currently engage with?

I have called the Pain Link Helpline

I have attended Pain Support Groups

I am a member of the APMA Facebook Closed Group

I have used the APMA website, factsheets and resources

I have attended Pain Talks

I have completed online courses (like Mindspot) in APMA's member resources

I have completed surveys sent or shared by APMA

I have purchased books etc from the APMA shop

I have participated in an Annual General Meeting

I follow APMA on social media

I currently or previously volunteered for APMA

I have completed a Return to Work or Student Placement with APMA

I have never used APMA's services

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* 9. Which of these services do you wish existed at APMA?

The Pain Link Helpline operating as a live service 7 days per week

A Pain Support Group closer to my location

A Peer Mentor to support me individually

A Peer Coach to support people on hospital waiting lists

A text chat service (like Pain Link on text)

Discounts to pain management courses by external health providers

APMA to sell products and services to assist with my personal management of pain (eg. mobility aids, can openers designed for arthritis sufferers)

A professional development session about living with pain and managing pain for my workplace or community group

A self management course co-designed by people in the APMA community

Dedicated culturally safe services for Aboriginal & Torres Strait Islanders or Culturally and linguistically diverse people

Nothing, I think APMA does enough

Other (please specify)

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* 10. The following questions are about pain management.

What pain condition/s do you have?

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* 11. Do you have other chronic diseases / co-morbidities?

Yes

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* 12. How many pain management programs have you completed? (we are referring to outpatient programs where you work with a multidisciplinary team. This may have been conducted via Telehealth &/or in person)

4+ programs

None

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* 13. Do you believe the last program you attended provided effective knowledge and skills for managing your pain?

Ineffective

Neutral

Highly effective

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 14. After you completed the last pain management program, did the clinic follow up your progress anytime between 3 to 12 months after the program ended?

Yes, I received a personalised contact

Yes, I received a generic contact

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* 15. Does your current level of health care and support adequately cater to your needs? (please select one)

Not at all

Neutral

Completely

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 16. Which of the following supports do you current access for chronic pain management?

Acupuncturist

Chiropractor

Community Health Worker

Counsellor

Exercise Physiologist

General Practitioner

Massage Therapist

Naturopath

Occupational Therapist

Osteopath

Pain Specialist

Peer to peer / social prescribing support (like APMA)

Pharmacist

Physiotherapist

Private Hospital Pain Management Service

Psychiatrist

Psychologist

Public Hospital Pain Management Program

Social Worker

None of the above

Prefer not to answer

Other (please specify)

APMA Membership Survey

Thank you for being a valued member of the APMA community.

Question Title

* 1. I am participating in this survey as:

Question Title

* 2. What is your age?

Question Title

* 3. What is your postcode number?

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* 4. Which gender do you identify with?

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* 5. Do you identify with any of these communities? (please select all that apply)

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* 6. Are you currently employed?

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* 7. Do you currently receive support or assistance through:

Question Title

* 8. Which APMA services do you currently engage with?

Question Title

* 9. Which of these services do you wish existed at APMA?

Question Title

* 10. The following questions are about pain management.

What pain condition/s do you have?

Question Title

* 11. Do you have other chronic diseases / co-morbidities?

Question Title

* 12. How many pain management programs have you completed? (we are referring to outpatient programs where you work with a multidisciplinary team. This may have been conducted via Telehealth &/or in person)

Question Title

* 13. Do you believe the last program you attended provided effective knowledge and skills for managing your pain?

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* 14. After you completed the last pain management program, did the clinic follow up your progress anytime between 3 to 12 months after the program ended?

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* 15. Does your current level of health care and support adequately cater to your needs? (please select one)

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* 16. Which of the following supports do you current access for chronic pain management?

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* 17. What is the most important thing the Australian Government could do to immediately improve quality of life for people living with chronic pain?

APMA Membership Survey

Thank you for being a valued member of the APMA community.

Question Title

* 1. I am participating in this survey as:

Question Title

* 2. What is your age?

Question Title

* 3. What is your postcode number?

Question Title

* 4. Which gender do you identify with?

Question Title

* 5. Do you identify with any of these communities? (please select all that apply)

Question Title

* 6. Are you currently employed?

Question Title

* 7. Do you currently receive support or assistance through:

Question Title

* 8. Which APMA services do you currently engage with?

Question Title

* 9. Which of these services do you wish existed at APMA?

Question Title

* 10. The following questions are about pain management.What pain condition/s do you have?

Question Title

* 11. Do you have other chronic diseases / co-morbidities?

Question Title

* 12. How many pain management programs have you completed? (we are referring to outpatient programs where you work with a multidisciplinary team. This may have been conducted via Telehealth &/or in person)

Question Title

* 13. Do you believe the last program you attended provided effective knowledge and skills for managing your pain?

Question Title

* 14. After you completed the last pain management program, did the clinic follow up your progress anytime between 3 to 12 months after the program ended?

Question Title

* 15. Does your current level of health care and support adequately cater to your needs? (please select one)

Question Title

* 16. Which of the following supports do you current access for chronic pain management?

Question Title

* 17. What is the most important thing the Australian Government could do to immediately improve quality of life for people living with chronic pain?

* 10. The following questions are about pain management.

What pain condition/s do you have?