Child and Adolescent Mental Health Services - Members Survey

CAMHS Survey - Background Information

Dear Parent or Guardian

Thank you for participating in this survey. Please provide as much information as possible to help give us a clear picture of your experiences with Child and Adolescent Mental Health Services (CAMHS) or Child and Family Consultation Service, as they are sometimes called.

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* 1. Please tell us the age of the young person attending CAMHS:

5 years or under

6 – 10

10 – 14

14 – 18

18 years +

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* 2. Gender of child / adolescent:

Male

Female

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* 3. At what age did your child / adolescent first have tics?

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* 4. At what age were tics the worst? (if there has been no difference in severity, please answer "no difference")

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* 5. Does your child / adolescent have:

Tourette's (just tics)

Tourette's + other conditions (e.g. ADHD, OCD, anger problems,

depression, please specify)

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* 1. Please tell us the age of the young person attending CAMHS:

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* 2. Gender of child / adolescent:

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* 3. At what age did your child / adolescent first have tics?

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* 4. At what age were tics the worst? (if there has been no difference in severity, please answer "no difference")

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* 5. Does your child / adolescent have:

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* 6. At what age did your child receive a diagnosis of Tourette Syndrome?