“Between 1st March 2019 and 1st March 2020, have you or (first name) been in contact with any of the following people because of worries about (first name)’s mental health or emotional, behavioural or concentration problems?”

1. Some in your family or a close friend
2. Telephone help line (for example, Samaritans, NHS 111, Mind)
3. Internet website (for example, Every Mind Matters, Young Minds
4. A teacher (for example, form teacher, head of year)
5. Someone from school based mental health support (for example, school counsellor)
6. Someone working in educational support services (for example, an educational psychologist or external specialist teacher)
7. Someone from primary health care (for example, a GP, practice nurse, or school nurse)
8. Someone from Child & Adolescent Mental Health Services (CAMHS) (for example, child psychologist or psychiatrist, child mental health nurse, or family therapist)
9. Someone specialising in children’s physical health (for example, a hospital or community pediatrician, or occupational therapist)
10. Someone from social care (for example, a social worker or family support worker)
11. Contacted or been referred to one of these types of people or services but has not been seen
12. Other (please specify)
13. None of the above