Steps to Better Health Questionnaire

Think about yourself in relation to the following areas that may affect your health and wellbeing.

1. My Connection with Family*

2. My connections with people outside my family (such as friends, community groups, social clubs)*

3. My employment, volunteering or retirement situation*

4. My level of education and training*

5. My financial situation*

6. My harmful habits or addictions (such as smoking, gambling, compulsive shopping, drugs/alcohol) *

6. My harmful habits or addictions (such as smoking, gambling, compulsive shopping, drugs/alcohol)

I don't have any

6. My harmful habits or addictions (such as smoking, gambling, compulsive shopping, drugs/alcohol)*

7. My access to affordable, healthy food (such as fresh fruit, vegetables, meat)*

8. My access to transport (public transport or your own transport)*

9. My access to suitable housing or accommodation*

10. My mental health*

11. My physical health*

12. My access to spaces for recreation (such as parks, ovals, playgrounds, beaches)*

13. My support when I provide care to others (such as relative, partner, disabled child, or friend/neighbour) *

13. My support when I provide care to others (such as relative, partner, disabled child, or friend/neighbour)

I am not a carer

13. My support when I provide care to others (such as relative, partner, disabled child, or friend/neighbour)*

14. My safety at home*

15. My safety in the community*

How concerned are you about your safety where you live, work and/or in the community?

16. My access to assistance with legal matters *

16. My access to assistance with legal matters

I don't know

16. My access to assistance with legal matters*

17. My childhood was*

18. My access to health services when I need them (such as a doctor, hospital, psychologist or other health professional I might need)?*

19. My access to other support services if/when I need them (such as home care, respite, disability support, parenting support, or other supports I might need)? *

19. My access to other support services if/when I need them (such as home care, respite, disability support, parenting support, or other supports I might need)?

I don't know

19. My access to other support services if/when I need them (such as home care, respite, disability support, parenting support, or other supports I might need)?*