Poverty and its Effects on Mental Health Survey - Devon Residents
Please take a few minutes to complete our survey which will be used to influence support available in Devon. This survey is being conducted by Punk Against Poverty thanks to support from Healthwatch Devon
Please tell us the first part of your postcode (eg TQ1)
*
What is your gender? (that you identify as)
Female
Male
Non-binary
Prefer not to answer
Other
What is your age range?
0-17
18-24
25-34
35-44
45-54
55-64
65+
What is your marital status?
Single
Married
Divorced
Widowed
Prefer not to answer
Living with partner
How many dependants do you have (age 0-17)?
1
2
4
4+
None
What is your annual household income range?
£9,999 or less
£10,000-£24,999
£25,000-£49,999
£50,000-£74,999
£75,000-£99,999
£100,000 or more
Prefer Not to Answer
What is your employment status?
Employed full time
Employed part time
Self-employed
Unemployed
Homemaker
Student
Prefer not to answer
Retired
Unable to work (due to health/disability)
Unpaid carer
Other
What is the highest level of education you have completed?
Less than Secondary school
Secondary school
Some college / University
College diploma / Certificate
Undergraduate degree
Masters / Graduate degree
Doctorate
Prefer not to answer
Other
What is your current housing status?
Homeowner with mortgage
Homeowner - owned outright
Renting - private rental
Renting - council/housing association
Temporary accomodation
Homeless - Street
Homeless - sofa surfing
Living with family/ friends and not paying rent
Do you receive any of the following benefits? (Please tick all that apply)
Pension credit
Disability living allowance
Carers allowance
Jobseekers allowance
Universal credit
Attendance allowance
Employment and support allowance
Housing benefit
Personal independence payment
Council tax reduction / discount
Other
Are you diagnosed with any of the following (please tick all that apply)
Anxiety disorders
Behavioural or emotional disorders (such as ODD, ADHD)
Depression
Dissociation or dissociative disorders
Eating disorders
Obsessive compulsive disorder
Paranoia
Post traumatic stress disorder
Psychosis
Schizophrenia
No diagnosed mental health conditions
Other
Do you receive any prescribed medications for any of the above conditions?
Yes
No
Not applicable
Do you have to pay for your prescriptions?
Yes
No I am exempt
If you have to pay for your regular prescriptions has there been any occasions within the last three months when you have struggled to afford the cost of your medication
Yes
No
Not applicable - I do not pay for prescriptions
Not applicable - I do not have any regular prescriptions
Thinking back over the last three months, how often have you had serious financial worries?
Never
1-3 times
4-6 times
7 - 10 times
More than 10 times
Sometimes people find their income does not fully cover their living costs. In the last three months has this happened to you?
Yes
No
Unsure
On a scale of 1 to 5 (1 being worst) how would you rate your financial hardship at present?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Over the last three months has your financial situation
Got better
Got worse
Stayed the same
Over the next three months, do you forsee your financial situation
Getting better
Getting worse
Staying the same
Unsure
Over the next three months do you anticipate having to reduce your standard of living due to a change in your finances or cost of living
Yes
No
Unsure
If yes, do you feel this will have a negative effect on your mental health?
Yes
No
Unsure
Not applicable
Over the last three months have you struggled to sleep / get to sleep because of financial worries?
Never
Occasionally
Often
Not applicable - I have not had any financial worries
On a scale of 1 to 5 (1 being worst) how would you rate your mental health at present?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Over the last three months do you feel your mental health has
Got better
Got worse
Stayed the same
Over the last three months have you sought out any new or extra professional help for your mental health?
Yes
No
Over the last three months have you needed to reach out to family, friends, colleagues or other non professionals for support due to your mental health?
Yes, for the first time
Yes, about as much as I usually do
Yes, but less than usual
No, I've not needed to
I've needed support but do not have anyone to reach out to
Has hearing about the 'Cost of Living Crisis' had any negative effects on your mental health?
Yes
No
Unsure
Over the last three months, has your mental health affected your ability to attend work or benefits / financial appointments?
Yes
No
Unsure
Not applicable- I have not needed to attend anything
If your income increased, do you feel your mental health would
Improve
Worsen
Stay the same
Unsure
Over the last three months has your mental health affected your ability to manage your finances?
Yes
No
Unsure
If yes, has this resulted in your finances worsening or incurring additional charges, such as having late payment fees added to bills?
Yes
No
Not applicable
Have you ever been offered help to manage your finances?
Yes
No
Unsure
Do you feel you could benefit with support managing your finances?
Yes
No
Unsure
I am already accessing support
If yes, do you think this would help improve your mental health?
Yes
No
Unsure
Not applicable
If you have been financially struggling, over the past three months have you avoided dealing with your financial situation, such as avoiding phone calls or not opening mail that is financially related?
Yes
No
Unsure
I have not been struggling financially and/or I have not received any contact like this
Do you feel there is enough help available for people on low incomes struggling with their mental health?
Yes
No
Unsure
Please add any comments you may have
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