Smiley Australia




Side Effects Survey Form:

This survey of 54 questions is to collect information on side effects.

Many of the questions in this survey are adapted from the LUNSERS
(Liverpool University Neuroleptic Side-effect Rating Scale)

This survey is for the use of mental health prescription medications in Australia.
(Antidepressants, Antipsychotics/Neuroleptics)

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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