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* 1. What is your residential post code

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* 2. Does the person you care for have good insight into their condition?

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* 3. Is this insight affected by their illness from time to time?

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* 4. Have they required transportation to hospital for treatment on occasion in the last 12 months?

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* 5. Was this provided by Police or Ambulance or otherwise?

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* 6. How serious is this issue of transport to you?

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* 7. Have you every incurred significant personal expenses associated with transporting consumers to a mental health facility?

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* 8. Were you able to access any rebate system (such as patient transport/ travel assistance schemes) to help pay for these costs?

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* 9. Have you every incurred significant personal expenses associated with visiting consumers in a mental health facility?

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* 10. Were you able to access any rebate system (such as patient transport/ travel assistance schemes) to help pay for these costs?

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* 11. Access to mental health professionals
Are you able to access sufficient mental health services and advice from you current place of residence?

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* 12. How far do you need to travel to physically see a mental health professional? ___________ kms

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* 13. Does the main treating clinician (psychiatrist, psychologist, mental health nurse etc) who looks after your family member or friend change frequently?

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* 14. Does this cause issues with their continuity of care, and if so what?

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* 15. Have changes in clinical staff resulted in changes of (tick as many as apply):

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* 16. Do the staff who look after your family member or friend seem to have a good knowledge of their patient’s their clinical situation and needs?

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* 17. Communication Issues
Have you every struggled to be understood by professionals whose first language is not English? 

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* 18. How is it best to provide detailed information about mental health issues and mental health services to people in your location and situation? (tick as many that apply)

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* 19. At home are you able to access:

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* 20. Respite
Are sufficient respite services are available in your local area?

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* 21. What type of respite services would be most helpful for you?

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