Exit
Thank you for participating. We are conducting this survey to find out how ex residents are doing and to help us evaluate how well we did as a service to you. This survey will take about 5 minutes to complete.

Information you give here is confidential between you and Namatjira Haven. Any information that can be used to identify you will remain private. Information about you will be used anonymously by us for statistical purposes to report on resident and service outcomes. Your survey responses will be removed from this site when we have received your response.

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* 1. Please provide this information if its OK for us to contact you again in the future.

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* 2. Please enter your date of birth

Date

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* 3. What year were you last at Nama?

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* 4. Do you still use drugs and alcohol?

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* 5. If yes, are you using more, less or about the

same as before you came to Nama?

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* 6. Have you been to other rehabs or engaged with other services for drug and alcohol support since leaving Nama?

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* 7. Have you been charged with any new offences since leaving Nama?

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* 8. If yes, are the offences more severe, less severe or about the same as charges you may have had before you came to Nama?

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* 9. Are you or have you engaged in any studies since leaving Nama

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* 10. Are you or have you engaged in any employment since leaving Nama?

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* 11. What is your current accommodation?

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* 12. What are your current accommodation circumstances?

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* 13. How satisfied are you with your current accommodation?

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* 14. Do you have a partner?

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* 15. If yes, how satisfied are you with your relationship with your partner?

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* 16. Do you have children?

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* 17. If yes, how satisfied are you with your relationship with your children?

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* 18. How satisfied are you with your social relationships, including with friends, work mates, etc?

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* 19. How do you rate your physical health?

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* 20. How do you rate your mental health?

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* 21. How do rate your living skills such as being able to look after yourself, cooking. cleaning, personal hygiene, managing your money, dealing with government agencies and business, etc

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* 22. On a scale of 1 to 5, where 1 is not at all confident and 5 is very confident, how confident are you about managing your life now?

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* 23. On a scale of 1 to 5, where 1 is not at all confident and 5 is very confident, how confident were you about managing your life before you came to Nama?

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* 24. Do you have any comments or like to tell us more about how you are going?

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