Smiley Australia




Mental Health Survey Form:

This survey asks 18 questions about the level of service and care patients receive from mental health services:

This survey may also be completed by Carers and Family Members who wish to report on the level of support they receive from mental health services.

If you close this page without clicking on the 'submit' button your survey will not be submitted.

To ensure we collect only genuine survey results you will be asked to supply a valid email address for survey verification.

You can print a copy of your completed form before clicking on the 'submit' button if you wish.


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