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* 1. Have you had an accident on the farm in the past that resulted in you needing to take 3 or more days off work on the farm?

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* 2. Have you had an accident in the last 24 months? (everything from a sprained wrist to a broken leg) 

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* 3. If you had an accident, where you needed to take 3 or more days off work, would you always report it to the Health and Safety Authority? 

(the purpose of this question is to identify whether accidents are happening but not being reported)

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* 4. Do you feel your level of farm debt or the financial situation of your farm is an unmanageable burden?

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* 5. Do you believe you suffer or are at risk of suffering from anxiety or depression?

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* 6. Do you have someone you could call out of the blue for a chat, if you were feeling lonely, isolated or just wanted to talk about your thoughts of feelings?

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* 7. If you answered yes to the previous question please specify who you would call. (otherwise choose not applicable)

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* 8. Do you feel lonely or isolated?

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* 9. Has Covid 19 impacted on your mental health or wellbeing

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* 10. If you would like to provide any other comments about your mental health or wellbeing, or that of other farmers you know, then please do so in the box below (No names or other identifying information will be published. Comments are anonymous)

If you wish to speak to someone regarding your mental health, there are a range of helpful contact details available at: https://www.mentalhealthireland.ie/get-support/
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