Service User and Carer Questionnaire


What is this study about?

NCEPOD are carrying out this study to look at how health services work together to support young people treated for mental health conditions

Information is being collected across the UK.

Who should complete this form?

Please answer this if you are a child or young person aged 11 to 25 years old, or a parent carer of a child or young person who has:

  • Thoughts or urges to self harm
  • Ever had an eating disorder
  • Ever suffered from depression
  • Ever suffered from anxious thoughts

Click submit at the bottom once you have answered the questions.
Please tell us a bit about yourself:
1. Are you:  


2a. Which country do you live in?
2b. Where county do you live in?
3. Age of child or young person in years?
4. Are you a young person or parent carer of a young person who has experienced any of the following:

5. Please rate your experience of the following mental health services on a scale of 1-6, where 1 poor and 6 is excellent
  Poor Excellent
Your General practitioner

Other mental health services provided by your general practice

Community counselling or IAPT service

Mental health services provided in school, college or university

Community child and adolescent mental health services

Community adult mental health services

Mental health services in the general hospital (including the emergency department)

Other highly specialist outpatient or community service e.g. specialist eating disorders service or day hospital care

Inpatient Care

6a. When you were in contact with mental health services, did you have a written emergency action plan or risk management plan in place?
6b. When you were in contact with mental health services, how would you rate your experience of emergency out of hours services, if you used them?
Inpatient Care

7a. Did you feel listened to by the people who treated or cared for you?
7b. Please give further details
Please think from your point of view about the care or treatment that you have received for any times when you have harmed yourself intentionally, or for eating problems, depression or anxiety.
8. What three things went/are going well?
9. What three things did not work/are not working?
10. What other services/types of help would you have liked?
11 -Would you be willing to be contacted again about this work, to consider taking part in further surveys or focus groups?
(If you are willing to be contacted again about this work, such as to take part in further surveys or focus groups, please contact us at