SERVICE
Did the website answer your questions about a mood disorder ?
Y = Yes, N = No, N/A = Not required or not relevant
Y
N
N /A
If YES, how satisfied have you been with this service ?
1
2
3
4
5
Did the website provide written information about bipolar ?
Y = Yes, N = No, N/A = Not required or not relevant
Y
N
N /A
If YES, how satisfied have you been with this service ?
1
2
3
4
5
Did the website provide a support person to meet with you ?
Y = Yes, N = No, N/A = Not required or not relevant
Y
N
N /A
If YES, how satisfied have you been with this service ?
1
2
3
4
5
Did the website provide someone to listen to you ?
Y = Yes, N = No, N/A = Not required or not relevant
Y
N
N /A
If YES, how satisfied have you been with this service ?
1
2
3
4
5
Did the website assist you to make personal change in your life ?
Y = Yes, N = No, N/A = Not required or not relevant
Y
N
N /A
If YES, how satisfied have you been with this service ?
1
2
3
4
5
Did the website provide opportunities to meet others affected by a mood disorder ?
Y = Yes, N = No, N/A = Not required or not relevant
Y
N
N /A
If YES, how satisfied have you been with this service ?
1
2
3
4
5
Did the website provide a welcoming environment to come to ?
Y = Yes, N = No, N/A = Not required or not relevant
Y
N
N /A
If YES, how satisfied have you been with this service ?
1
2
3
4
5
Did the website provide support to family members of people with a mood disorder ?
Y = Yes, N = No, N/A = Not required or not relevant
Y
N
N /A
If YES, how satisfied have you been with this service ?
1
2
3
4
5
Do you think the website helps to advocate for your rights (eg. promoting improved access to evidence based treatment, countering stigma and discrimination, etc.) ?
Y = Yes, N = No, N/A = Not required or not relevant
Y
N
N /A
If YES, how satisfied have you been with this service ?
1
2
3
4
5
Did you attend a training event on a mood disorder or related topics ?
Y = Yes, N = No
Y
N
If YES, how satisfied have you been with this service ?
1
2
3
4
5
If so, was information about the training event easy to find ?
Y = Yes, N = No
Y
N
Did the website help you access regional or local peer support groups for a mood disorder ?
Y = Yes, N = No
Y
N
If YES, how satisfied have you been with this service ?
1
2
3
4
5
Did you make contact or attend one of these groups as a result of visiting the website ?
Y = Yes, N = No
Y
N
Do you think the website was a visible source of information about a mood disorder for the general public ?
Y = Yes, N = No
Y
N
If YES, how satisfied have you been with this service ?
1
2
3
4
5
Knowledge of mood disorders
1
2
3
4
5
N /A
Access to information about mood disorder medication
1
2
3
4
5
N /A
Knowledge of mental illness generally
1
2
3
4
5
N /A
The amount of direct/personal experience that staff have with a mood disorder
1
2
3
4
5
N /A
Communication skills
1
2
3
4
5
N /A
Caring
1
2
3
4
5
N /A
Encouraging and hopeful
1
2
3
4
5
N /A
Friendly
1
2
3
4
5
N /A
Accepting of people
1
2
3
4
5
N /A
Not looking down on others
1
2
3
4
5
N /A
Appreciating you as a whole person
1
2
3
4
5
N /A
Appreciationg of individual differences
1
2
3
4
5
N /A
Appreciation of the impact of culture on your life
1
2
3
4
5
N /A
Appreciation of the impact of spirituality on your life
1
2
3
4
5
N /A
The online services below which you would like to see us provide in the future
More online support groups
More information about depression
Access to online e-learning courses
Electronic register of mood disorder research studies
More information about mood disorder (books, booklets, pamphlets)
Access to online interventions
More social support
Introduction to Wellness Recovery Action Plan (WRAP)
Information about treatment
Access to multimedia resources (DVD or audio presentions)
Information about self-management strategies
What do you see as most important for improving the lives of those affected by a mood disorder ?
Less daily symptoms
Less side effects from medication
Better intimate relationships
Better relationships with children
Getting a job
Reducing suicide
Treatment adherence
Better day to day functioning
Coping and managing better
Ability to work or maintain employment
Improved life satisfaction/quality of life
Better physical health
Feeling alert and alive
Feeling connected with ones culture
Increased spirituality
Awakening of hope after despair
Understanding of illness
Staying out of the mental health system
Any comments or suggestion that you would like to make?
DEMOGRAPHICS We need to understand a little more about your living situation in order to know what services would be most helpful to you. Therefore, we have included some questions about you and your living situation. The following questions are entirely optional . However, should you choose to respond to them, it is important that you know that your responses are anonymous and confidential .
1. Gender
F emale
M ale
2. Age range
2 0 and under
2 1 - 30
3 1 - 40
4 1 - 50
5 1 - 60
6 1 and above
3. Which ethnic group do you belong to ?
N Z European
M aori
S amoan
C ook Island Maori
T ongan
N iuean
C hinese
I ndian
O ther
If OTHER, please state here
4. Do you have dependent children ?
Y es. Please answer question 5.
N o. Please go to question 6.
5. How much time do your children spend in your care ?
F ull-time in my care
S hared with others
L ooked after full-time by others
6. How many people currently live in your household ?
Please indicate the relationship you have with each of them. For example: partner, mother, brother, flatmate, etc.
7. Are you currently employed (either paid or voluntarily) ?
Y es
N o
If YES, how many hours per week do you work ?
If NO, primary reason for not working
8. Please indicate your main source of income below. For example: wages, salary, student allowance, invalids benefit, ACC.
9. Indicate the total income received before tax in your family in the last 12 months
l oss
z ero
$ 1 - $ 5000
$ 5001 - $ 10000
$ 10001 - $ 15000
$ 15001 - $ 20000
$ 20001 - $ 25000
$ 25001 - $ 30000
$ 30001 - $ 35000
$ 35001 - $ 40000
$ 40001 - $ 50000
$ 50001 - $ 70000
$ 70001 - $ 100000
$ 100001 or more
10. I have regular access to the internet
A t home
A t work
A t home and work
A t an internet cafe, library or place of study
I do not have regular access anywhere
I do not use the internet at all
11. How does a mood disorder affect your life ?
I have a mood disorder
A family member has a mood disorder
I know someone with a mood disorder