VOTA Questionnaire

Survey on the Needs of Survivors of Terrorist Acts

Thank you for agreeing to participate in our survey. This survey aims to identify the primary needs of survivors of terrorist acts. Your participation will assist our non-profit organisation, Victims of Terrorism Australia, enhance our victim support capabilities and prioritise our services.
Please answer all questions on this form.
Questions marked with * only require ONE choice
Please let us know if have any questions about this questionnaire.

Section 1: Experience of the Incident

1. Which category best describes your role in the incident? *

If 'other' please specify:

2. Can you briefly describe the terrorist event you experienced, and the day, month and year of the event? Please use the date format dd/mm/yyyy

Your response *

3. Did the event occur in Australia or internationally and if internationally, in which country?

In Australia

Internationally ( please specify?}

Please specify here

4. Were you physically injured during the incident? *

Yes, severely

Yes, minor injury

No

5. In your perception, how many people in your circle of impact were affected by what happened to you? Please let us know the category, for example, your immediate family, extended family, work colleagues, friends or others impacted by your experience, and approximately how many people are in each category. *

Immediate family (approximate number)

Extended family (approximate number)

Friends (approximate number)

Work colleagues (approximate number)

Others (please specify and provide an approximate number)

Section 2: Physical and Psychological Health Needs

6. Since the incident, have you experienced any of the following health challenges?

7. Have you received adequate medical care for your physical health challenges? *

8. Have you sought or received psychological support?

Yes, and it was helpful

Yes, abut it was unhelpful

No, I was unable to access support

No, I did not seek mental health support

Section 3: Social and Community Support

9. Do you feel you have a strong support system from family and friends? *

10. Have you participated in any groups for survivors? *

Yes, and they were helpful

Yes, and they were not helpful

No, I was not aware of any support

No, I was unable to access them

Section 4: Financial and Legal Impact

11. Has the incident affected your financial situation? *

Yes, I lost my job or primary source of income

Yes, I have medical expenses related to the incident

No, my financial situation was not impacted

Other (please specify):

12. Have you received financial assistance from any government or non-government organisations? *

Yes, it was sufficient

Yes, but it was not enough

No, I was unable to access financial assistance

No, I did not seek financial assistance

13. Did you require legal assistance related to the incident? *

Yes, and I was able to access

Yes, and I was unable to access

No, I did not require legal assistance

Section 5: Access to Information and Services

14. How well were you informed about available resources and support services after the incident? *

Additional Comments below :

Section 6: Media Awareness and Relations

15. How aware were you of the potential impacts of media coverage?

Very aware – I fully understood the potential impacts

Somewhat aware – I had some understanding but not in-depth knowledge

Neutral – had limited awareness of the media impact

Slightly aware – I only realised the implications after experiencing media coverage

No not all, I had no prior knowledge of how media coverage would afect me

Additional Comments

16. What is your attitude towards collaborating with media after an event?

Very aware – I would actively engage with media to share my experience

Somewhat willing – I might engage depending on the circumstances

Neutral – I have no strong opinion on working with the media

Somewhat willing – I would prefer to avoid the media but might consider it

Very unwilling – I would not engage with the media under any circumstances

Additional Comments

17. If you have collaborated with the media in the past, how would you describe the experience?

Very positive – the experience was helpful and empowering

Somewhat positive – the experience had benefits, but also some drawbacks

Neutral – the experience was neither positive nor negative

Somewhat negative – the experience was challenging or uncomfortable

Very negative – the experience was distressing and harmful

Not applicable – I did not collaborate with the media

Additional Comments

Section 7: Survivor Support Priorities

18. What type of support do you believe should be prioritised for survivors’ and bereaved recovery?

A. Campaigns to build social awareness, resilience and cohesion *

Extremely important – such campaigns are essential for community resilience

Very important – these campaigns play a significant role in prevention and recovery

Moderately important – some benefit, but not a major priority

Slightly important – these campaigns have limited impact

Not important – such campaigns are not necessary

C. Media management support *

Extremely important – essential for guiding survivors in handling media attention

Very important – provides significant support in media interactions

Moderately important – some benefit, but not a major priority

Slightly important – limited impact

Not important – not necessary

D. Peer support network *

Extremely important – essential for emotional and social recovery

Very important – provides significant support and connection

Moderately important – some benefit, but not a major priority

Slightly important – limited impact

Not important – not necessary

E. How would you prioritise the following peer support services?
(Please rate each option from 1 – most important, to 5, least important)

Section 8: Demographics

19. What is your age? *

20. What is your gender? *

21. What is your current employment status? *

22. If you would like to add your contact details, please do so below. This is voluntary.

23. Is there anything else you would like to say?

No

Yes

If Yes (please add your comments here)

Thank you for taking the time to complete this questionnaire.

Thank you for your completing this questionnaire. Your information is a vital part of our continued effort to support those affected by terrorism. We appreciate your time.

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VOTA Questionnaire

Survey on the Needs of Survivors of Terrorist Acts

Section 1: Experience of the Incident

1. Which category best describes your role in the incident? *

2. Can you briefly describe the terrorist event you experienced, and the day, month and year of the event? Please use the date format dd/mm/yyyy

3. Did the event occur in Australia or internationally and if internationally, in which country?

4. Were you physically injured during the incident? *

Section 2: Physical and Psychological Health Needs

6. Since the incident, have you experienced any of the following health challenges?

7. Have you received adequate medical care for your physical health challenges? *

8. Have you sought or received psychological support?

Section 3: Social and Community Support

9. Do you feel you have a strong support system from family and friends? *

10. Have you participated in any groups for survivors? *

Section 4: Financial and Legal Impact

11. Has the incident affected your financial situation? *

12. Have you received financial assistance from any government or non-government organisations? *

13. Did you require legal assistance related to the incident? *

Section 5: Access to Information and Services

14. How well were you informed about available resources and support services after the incident? *

Section 6: Media Awareness and Relations

15. How aware were you of the potential impacts of media coverage?

16. What is your attitude towards collaborating with media after an event?

17. If you have collaborated with the media in the past, how would you describe the experience?

Section 7: Survivor Support Priorities

18. What type of support do you believe should be prioritised for survivors’ and bereaved recovery?

E. How would you prioritise the following peer support services?(Please rate each option from 1 – most important, to 5, least important)

Section 8: Demographics

19. What is your age? *

20. What is your gender? *

21. What is your current employment status? *

22. If you would like to add your contact details, please do so below. This is voluntary.

23. Is there anything else you would like to say?

Thank you for taking the time to complete this questionnaire.

Title

E. How would you prioritise the following peer support services?
(Please rate each option from 1 – most important, to 5, least important)