ASK IF 0 = 1-8 (I.E. HAVE HEARD OF NEGATIVE CONSEQUENCES) How did you hear about this negative consequence? Please select all that apply. MULTIPLE RESPONSE, RANDOMISE It happened to you...........................................................................................................1 It happened to a family member...............................................................................2 It happened to a friend / someone in your community...................................3 Heard / saw in the media............................................................................................ 4 Other (please specify)...................................................................................................5 Not sure / can’t remember..........................................................................................6 Exclusive ASK ‘PRINCIPALS’ Do you believe any of the following is true of your appointed decision-maker(s)? They… MULTIPLE RESPONSE, RANDOMISE Are experiencing financial stress................................................................................1 Are your primary carer..................................................................................................2 Have an alcohol, drug or gambling addiction......................................................3 Are dependent on you financially............................................................................ 4 Are dependent on you emotionally.........................................................................5 Have experienced trauma............................................................................................6 Are experiencing personal or family difficulties..................................................7 None of these....................................................................................................................8 Exclusive ASK THOSE WHO SELECTED ANY OPTION AT 0 OTHER THAN ‘NONE’ Do you think these circumstances pose any risk to you or your appointed decision-maker’s ability to perform their role? SINGLE RESPONSE Yes – high risk....................................................................................................................1 Yes – medium risk............................................................................................................2 Yes – low risk.....................................................................................................................3 No risk................................................................................................................................. 4 Not sure...............................................................................................................................5 Chapter : 9 Appendices 83