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Pro Patria Centre (PPC) is a multidisciplinary wellbeing centre focused on developing self-agency in veterans, first responders and their families.

This survey will assist the PPC to identify and develop ongoing wellbeing programs and services to better meet the wellbeing needs of the current and ex-emergency personnel community.

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* 1. What is your current postcode?

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* 2. What is your age?

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* 3. Gender

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* 4. Select all that apply

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* 5. How many years of service did you have?

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* 6. What type of health conditions are you aware that you have?

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* 7. What is your current housing situation?

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* 8. What is your annual income?

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* 9. Have you felt suicidal at some time over the past 2 years?

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* 10. Have you been prescribed medication as a result of a work place injury

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* 11. If you answered "yes", to the previous question, please list the conditions the medication is treating?

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* 12. Have you ever been hospitalised for a service-related injury or illness?

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* 13. Have you ever sought help when suffering from a workplace injury or illness?

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* 14. If you have sought help, what was the nature of the assistance?

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* 15. How likely were you/are you to use the workplace provided mental health services

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* 16. Give reasons for your answer above

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* 17. If you were to be hospitalised , do you have a support person or network at home to assist you in your recovery?

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* 18. In the past, who did you receive the most support from?

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* 19. How far do you travel from your regular specialist/treatment provider?

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* 20. How often do you travel away from your home region to attend health services and specialist appointments in a year?

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* 21. What mode of travel do you use when attending health services outside of your home region?

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* 22. Are you aware that there are services that can help with transport to attend medical appointments?

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* 23. Are there sufficient support services in your local community for ex-emergency service personnel?

  Insufficient Sufficient Well serviced
Physical support services
Mental support services
Social support services

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* 24. Are you currently connected to other ex-emergency personnel in your local community?

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* 25. Would access to an online networking hub with other ex-emergency personnel be beneficial to your overall wellbeing?

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* 26. Would you be interested in sharing more information with our research team in the form of an interview?

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* 27. *OPTIONAL* If you are interested in an interview, please fill in your contact details below (e.g. name, phone number, email address)

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* 28. Is there anything else you would like for us to know about your current situation?

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