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1. Gender of caller: Male Female
2. Do you live in metro Melbourne or country Victoria? Metro Country
3. Would you mind telling me your marital status please? -- Please select -- Married Defacto Single Seperated/Divorced Widowed
4. Relationship with Child -- Please select -- Parent Step-Parent Grand-Parent Other relative Carer
5. Would you mind telling me your age please? -- Please select -- 19 & under 20-24 25-30 31-35 36-40 41-45 46-50 51-55 56+
6. Are you of Aboriginial or Torres Strait Island descent? Yes No
7a. Were you born in Australia? Yes No
7b. Which country were you born in?
7c. Do you speak a language other than English at home? Yes - What language? No
8. Are you a healthcare cardholder? Yes No
9a. Is this the first time you have called Parentline? Yes No
9b. How many times would you estimate you have called Parentline in total? once or twice 3-4 times 5-10 times 11-15 times 16-20 times More than 20 times Too many to count
10. How did you first hear about Parentline? -- Please select -- Family member Friend Colleague GP/counsellor/psychiatrist MCHN School Other professional White/yellow pages Mainstream print media Television Radio Internet, excluding white/yellow pages Promotional material/campaigns Other (please specify)
11a. Did you have any difficulty or delays in getting through to Parentline? Yes No If yes, then go to 11b
11b. What sort of difficulty or delay did you encounter? Phone queue and I remained in the queue Phone queue but I hung up Received an engaged signal Left message on answering machine Other (please specify)
12. What was the reason for your call to Parentline? Adolescent behavioural/emotional issue Child/Infant behavioral /emotional issue Parental coping and needing support Parental/child relationship issue Schooling issue Custody/access issues Seeking referral to another agency Professional request Other (please specify)
13. What factors influenced your decision to ring Parentline? It was outside normal business hours Convenience of calling from home Difficulties in accessing other services - distance/waiting lists Wanted a service where I could remain anonymous Independent and impartial nature of Parentline Immediacy of service Parentline had been recommended to me/Used Parentline previously and was satisfied Other
14. What other parenting supports do you use? Family & Friends Structured parenting groups Informal parenting groups Family Counseling In home professional support MCH Nurse Other telephone services None Other
15. What is your preferred method of getting information on parenting issues? Internet sites Books and reference on parenting Tip sheets Television Professional 1:1 (e.g Parentline )
16. Did the counsellor at Parentline put you at ease? Yes No
17. Did the counsellor at Parentline listen to you? Yes No
18. How effective was Parentline in improving your relationship with your children? Not effective Neutral Very effective
19. Do you think the counsellor from Parentline assisted you in developing strategies? Yes No
20. Have you, or will you change anything about your behaviour as a result of calling Parentline? Yes - (go to question 20b) No
20b. What will you change?
21. How effective was Parentline at improving your parenting skills? Not effective Neutral Very effective
22. Did the counsellor from Parentline give you enough time? Yes No
23. Were you satisfied with the service you received? Not effective Neutral Very effective
24. Did the counsellor from Parentline offer to refer you to another agency/service? Yes No Not applicable
25. Did the counsellor from Parentline offer to send you printed material? Yes No Not applicable
26. Would you call Parentline again? Yes No May be
27. What did you like about Parentline?
28. Was there anything you disliked about Parentline?
29. How could Parentline be improved to ensure your needs are better met?
30. Is there anything else you would like to add about your contact with Parentline?
Thank you for your time
