Better Mental Health

Do you, or any of your close friends or family, work in any of the following professions or industries?

Journalism/MediaHealthcare services (private or NHS)CharitiesNone of the above

What role do you/they have (WRITE IN) and what sort of patients do they work with (WRITE IN)?

What area does the charity focus on (WRITE IN)?

Have you ever taken part in a market research group discussion or a depth interview?

YesNo

When did you last take part in a market research group discussion or depth interview?

In the last 6 monthsOver 6 months agoNever

How many market research group discussions or depth interviews have you taken part in, in the last 2 years?

1-23 or moreNone

What subjects have you been interviewed on before? (WRITE IN):

Thinking about the past 6 months up to now, which one of the following statements would you say most closely applies to you?

I have a mental illness or mental health condition such as anxiety or depression (or have had one in the past) that has been formally diagnosed by a healthcare serviceI think I may have a mental illness or mental health condition but I have not been formally diagnosed.I don’t think I have experienced a mental illness or mental health condition but there are times when some emotions (e.g. anxiety, anger, panic, sadness, feeling low) can be quite intense and sometimes stop me from functioning normally day to day.I don’t think I have experienced a mental health problem or get to the point of feeling really distressed. Negative emotions like anger, irritation or sadness pass quite quickly. But I think my mental and emotional wellbeing could probably be better than it is right now.At the moment, I think I’m mentally and emotionally very healthy. On the whole I feel positive and optimistic. I cope fairly easily with stress and life’s challenges and have good relationships with others. However, I know someone else close to me who I think or know is suffering from mental health issues.

What condition have you been diagnosed for? Write in:

What condition do you think you might have? Write in:

Are you currently having, or have you ever had, any treatment or using any services for that condition?

Prescription medication

CurrentPreviousNone

Talking therapy services provided through the NHS or privately

CurrentPreviousNone

Non-medical treatments or therapies

CurrentPreviousNone

Other treatments (WRITE IN)

Do you have experience of anyone close to you (friend, partner or family member) ever having a mental health issue or illness (this might be one that has been formally diagnosed and treated with medication or use of a health service or one that hasn’t)?

YesNo

Which of the following apply to you?

I have no childrenI am currently pregnantI have at least one child at home aged under 18I have children who have left home

Which of the following best applies to you?

I am working full timeI am working part timeI am volunteeringI am a student, e.g at a secondary school, college or other education institutionI am a carerI am currently on leave long termI am currently at home looking after my childrenUnemployedRetiredOther:

Date and time of your interview?
Please give alternative in case first choice is not available