Carer Centrelink Benefits and Mental Health Carers Question Title * 1. Which category of issue does your loved one have? (You can select more than one) Physical disability Mental disability Psychological disability Question Title * 2. What sort of care do you provide? (You can select more than one) Active daily care Supervision / Monitoring Both Question Title * 3. Have you ever applied for (You can select more than one): Carer Payment Carer Allowance Carer Supplement Question Title * 4. Have you been successful in your carer related payment claim(s)? Yes No Question Title * 5. If you were successful, which benefits were you successful in claiming? Carer Payment Carer Allowance Carer Supplement Question Title * 6. If the answer is ‘No’ for any of the payments, which of the reasons were you given? (You can select more than one) You are not Australian residence You did not live enough in Australia You do not provide care at their home The person you care was not disable enough You do not spend “significant amount” of time The person you care do not received social security payment Other (please specify) Question Title * 7. How many hours per week do you spend on any kind of care (direct care / supervison or monitoring) with the person? Less than 15 15 - 25 26 - 35 36 - 40 More than 40 hours Question Title * 8. How many hours per week do you work, study or train? Less than 15 15 - 25 26 - 35 36 - 40 More than 40 Question Title * 9. How many hours per week you spend providing direct care or support to the person your care for? Less than 15 15-25 26-35 36-40 More than 40 Question Title * 10. When can you leave the person you care for unattended or without support? All the time Most of the time Day time Night time Sometimes Infrequently Never Other (please specify) Question Title * 11. How much of each week to you need to be available if required for your loved one’s unexpected needs? (i.e. “‘How often are you ‘on-call’”). All the time Most of the time Day time Night time Sometimes Infrequently Other (please specify) Question Title * 12. Are you prevented from undertaking other major commitments with your time due to your caring role? Yes No Question Title * 13. If ‘Yes’, what types of things are you unable to do because of your caring role (you may pick more than one): Full time work Part time work Full time study Part time study Volunteering Hobbies Other (please specify) Question Title * 14. Please comment on any other impacts on your life or commitments. Done