School of Medicine
Discipline of Psychiatry
Evaluation Unit
Thank you for taking the time to answer the questions on this survey. Here are some things you may like to know before you start:
We do not need to know your name but we do need to be able to link what you write here with questions we might ask you on other surveys about the WebPages.
A way of coding your identity has been developed (see 1 below). If you do not wish to write the letters from your name in the code boxes, you may write other letters in the boxes. Please make sure the letters you write in the boxes are the same each time you fill in a survey about the WebPages.
This isn’t a test – you can’t get things “right” or “wrong” and there are no “trick questions”. Just write down what you honestly think.
1. Please write letters from your name in the boxes below as instructed by the writing under each box.
1 st letter of your first name
2 nd letter of your first name
1 st letter of your last name
2 nd letter of your last name
Last letter of your last name
2. I am a (please tick the one that most applies): (mandatory)
General Practitioner (GP) Youth and/or Community
Worker
Mental Health Worker Child Protection and/or
Justice Sector Worker
Child and/or Family
Health Worker
Early Childhood Worker
Education Sector Worker
Other ________________
_____________________
_____________________
3. What Australian state or territory do you work in?
New South Wales (NSW) Queensland
Tasmania
Victoria
Western Australia
South Australia
Northern Territory
Australian Capital Territory
(ACT)
OR
I do not work in Australia. I work in :
_________________________________________ (Country)
4. Do you work in a capital city (including its suburbs), major town, rural area, or remote area? (mandatory)
Capital
City
Major
Town
Rural
Area
Remote
Area
Other:
________________
________________
____
5. Do you (or might you) provide services to any of the following client groups? (please tick as many as applicable)
Client Group Tick Client Group Tick
Consumers of Mental Health
Services
Carers of people with mental illness
Families where a person in the family has a mental illness
Parents with mental illness
Young People 13-18 years with a Parent(s) with mental illness
Young Adults 18-25 years with a Parent(s) with mental illness
Aboriginal and/or Torres Strait
Islander people
Children under the age of 8 years with a Parent(s) with
Mental Illness
Children 8-12years old with a
Parent(s) with Mental Illness
Rural and Remote
Communities/located people
Persons of Non-English speaking background
Other ____________________
_________________________
Please tick how much you agree or disagree with each of the next 4 statements:
6. When I am providing services to and/or supporting a person with mental illness it is important to find out if they have any children.
Strongly agree
Agree Neither agree or disagree
Disagree Strongly disagree
Not applicable
7. In my work I encourage people with mental illness to speak to their children about their mental illness at a level the child can understand.
Strongly agree
Agree Neither agree or disagree
Disagree Strongly disagree
Not applicable
8. For a child or young person who has a parent with mental illness, support necessary to meet socialisation needs is no different to any other child.
Strongly agree
Agree Neither agree or disagree
Disagree Strongly disagree
Not applicable
9. When working with a child or young person who has a parent with a mental illness I can easily identify all of the potential risk factors.
Strongly agree
Agree Neither agree or disagree
Disagree Strongly disagree
10. Please list organisations that you can work with to support families and i mprove families’ capacity to support, protect and care for their children.
Not applicable
Not applicable
_______________________________________________________
_______________________________________________________
11. Please list organisations that you can use to assist a child or young person to access age appropriate information about their issues/needs.
___________________________________________________________
Not applicable
___________________________________________________________
___________________________________________________________
_________
Please tick how much you agree or disagree with each of the next 3 statements:
12. If I work with families where there is mental illness I intend to support them to put a care plan in place for the children should the parent become unwell and/or require hospitalisation.
Not applicable
Strongly agree
Agree Neither agree or disagree
Disagree Strongly disagree
13. I intend to contact some of the services listed on the website for information about referrals for children and young people, or their parents with mental illness.
Not applicable
Strongly agree
Agree Neither agree or disagree
Disagree Strongly disagree
14. After looking at the website I would now be more likely to ask a person with mental illness whether they have children and how they are managing.
Strongly agree
Agree Neither agree or disagree
Disagree Strongly disagree
Not applicable
15. My responses to the next 6 survey items relate mostly to the following web page/s:
Website section
General Practice
Mental Health
Education
Child & Family Health
Child Protection & Justice
Early Childhood
Youth and Community
Responses relate to these sections
Please tick how much you agree or disagree with each of the next 6 statements:
16. It was difficult to navigate my way around the WebPages.
Strongly agree
Agree Neither agree or disagree
Disagree Strongly disagree
17. I found the information that I was looking for on the WebPages.
Strongly agree
Agree Neither agree or disagree
Disagree Strongly disagree
18. I thought the information on the WebPages was credible.
Strongly agree
Agree Neither agree or disagree
Disagree Strongly disagree
19. I did not like how the WebPages looked.
Strongly agree
Agree Neither agree or disagree
Disagree Strongly disagree
20. The WebPages would be helpful to any worker or organisation in my field.
Strongly agree
Agree Neither agree or disagree
Disagree Strongly disagree
21. The information on the WebPages is unlikely to be useful to my work in the future.
Strongly agree
Agree Neither agree or disagree
Disagree Strongly disagree
22. I intend to seek out more information about the topic of children of parents with mental illness.
Y es No Don’t know
23. Is there any other information that you would like to see on the
WebPages?
______________________________________________________________
______________________________________________________________
______________________________________________________________
24. What did you like most about the WebPages?
______________________________________________________________
______________________________________________________________
______________________________________________________________
25. What did you like least about the WebPages?
______________________________________________________________
______________________________________________________________
______________________________________________________________
26. Any additional comments or suggestions?
______________________________________________________________
______________________________________________________________
______________________________________________________________
27. Approximately how long did it take you to complete this survey?
(mandatory)
(minutes)
28. Today’s date (date survey completed on):
________________________________________________________(date)