Information you provide will be used to generate a report which will be sent to your health care provider.
It is necessary to answer all questions in order for a report to be generated. If you do not complete all questions this program will not generate a report.
Information provided by you in the completion of this program will not be sold or traded to any other person under any circumstances.
If you have any concerns about how information you provide will be used, please contact us at: Black Dog Institute, Hospital Road, Prince of Wales Hospital, Randwick NSW 2031. A copy of our privacy policy is available at www.blackdoginstitute.org.au/privacy or by writing to us.