The Mental Health Nurse Incentive Program is funded by the Department of Health and Ageing. It aims to improve people's health by making more mental health services available in the community.

We understand that recently you have been seeing a mental health nurse on the advice of your GP or psychiatrist.

  • This survey is being conducted by Australian Healthcare Associates on behalf of the National Advisory Council on Mental Health
  • The survey asks you about the services you have been receiving from: XXXXXXXXXX.
  • We would like to hear about your experience with the service and whether it has been helpful.
  • You do not have to complete and return this survey if you do not wish to.
  • Your replies to the survey questions are completely confidential and will not be identified in any reports.
  • No information about you or your responses to the survey will be given to your service provider.
  • Should you have any questions or concerns, please call us on 1300 788 667 for the cost of a local call.
  • Please return your completed survey, including this page, in the reply-paid envelope provided - no stamp is required.
  • Alternatively, you can complete the survey on-line (URL is no longer active)

Survey questions

  1. Are you?
    • Male
    • Female

  2. How old are you?
    • Under 25 years
    • 26 to 40 years
    • over 40 years

  3. Do you identify as Aboriginal or Torres Strait Islander? Yes / No

  4. Is English your first language? Yes / No. If you answered No, what is your first Language?

  5. How did you hear about the mental health nurse service?
    • My GP
    • My psychiatrist
    • Hospital
    • Friend or family member
    • Other (please give more detail) Top of page

  6. Who referred you to the nurse?
    • My GP
    • My psychiatrist
    • Hospital
    • Other (please give more detail)

  7. How long did you have to wait before seeing the nurse?
    • Less than 1 week
    • 1 - 4 weeks
    • More than 4 weeks

  8. How long have you been seeing the nurse?
    • Less than 3 months
    • between 3 and 6 months
    • between 6 and 12 months
    • More than 12 months

  9. What helped you decide to see the nurse for your mental health issues? Please tick as many as needed
    • Doctor's referral
    • Family / friend
    • Convenient location
    • No service available before
    • I wanted to make changes in my life
    • Other (please give more detail)

  10. When you see the nurse, are you: Please tick as many as needed
    • On your own
    • With a family member /carer
    • In a group

  11. Where do you see the nurse?
    • At my doctor's clinic
    • At another doctor's clinic
    • At home
    • Other (please give more detail)

  12. Are you involved in decision making about your treatment? Yes / No / Sometimes

  13. Do you have a treatment plan that you, your doctor and your nurse have all agreed to? Yes / No / Don't know Top of page

  14. Please tell us about the support you receive. Please tick as many as needed.
    The nurse has helped me to:
    • Understand my illness
    • Recognise my early warning signs
    • Understand my medication
    • Take my medication regularly
    • Deal with everyday life issues better
    • Improve my relationships
    • Manage other health issues
    • Other (please give more detail)

  15. Have you been referred to other services? (please tick as many as needed)
    • Housing program
    • Employment or education
    • Social/activity group
    • Personal helpers and mentors
    • Drug/alcohol service
    • Community mental health service
    • Other (please give more detail)

  16. Is support from the nurse provided in a way that best meets your needs? Yes / No / Sometimes

  17. For each of the following statements, please indicate whether you: Strongly agree / Agree / Neither agree nor disagree / Disagree / Strongly disagree

    As a result of the support provided by the mental health nurse...

    • My mental health is much better now
    • My life has improved
    • I have more hope for the future
    • I feel more in control of my life
    • I am more motivated to do things
    • My close relationships have improved
    • I have more friends
    • Overall, I am satisfied with the service

  18. What has been most helpful about seeing the nurse? Please give details.

  19. What has been least helpful? Please give details.

  20. Would you recommend this service to others? Yes / No / Maybe

  21. Do you have any other comments or suggestions?
Thank you for taking the time to complete and return this survey