We would like to understand Autistic Victorians and parents/carers of Autistic Victorians awareness of Mental Health and Wellbeing Locals.

This survey will take approximately 5-10 minutes to complete. This research is conducted by Amaze staff who will collate the results and develop resources for Mental Health and Wellbeing Locals.

Responses to this survey are anonymous.

You will be asked about your awareness of Mental Health and Wellbeing Locals services within Victoria.

If you experience uncomfortable feelings, you can leave this survey anytime. Please ensure you look after your wellbeing and seek help if needed.

1. What age bracket are you?

Under 2626-3535-6060+

2. Are you

I am Autistic/ questioning Autistic IdentityParent, carer or family member of an Autistic personBothNone of the above

Other council area

If you would like the opportunity to enter a random draw for one of two $50 Prezzee vouchers, please leave your name, email address, and mobile phone number below. Your response will remain confidential. Otherwise please press submit.

Name

Email address

Mobile number

Thank you for completing this survey.

If this survey has brought up any feelings of distress for you, we encourage you to reach out to any of the following services for support.

Lifeline Australia - 13 11 14 or lifeline.org.au

Beyond Blue - 1300 224 636 or beyondblue.org.au

If you or someone you know is in immediate danger, please contact triple zero (000)

You are not eligible to participate in this study. Thank you for your time.