SISTEME Y'UBUVUZI BW'IMITEKEREREZE MU IRLANDE

Please take a few minutes to fill out this survey on mental health. The questionnaire consists of some sections. Please read and mark your answers. If your response is no, skip to the question number as per mentioned. We value your feedback and your responses will be kept confidential. Thank you for your input. Please provide us with the following information.

Ibisubizo by'ibibazo biraboneka ku mugaragaro

1-Ni iyihe myanya y'igitsina yawe?

2-Ni iyihe myaka ufite?

3-Amashuri yawe?

4-Ikibazo cy'ubwenegihugu?

5- Ni ryari uheruka guhura n'umuntu uva mu nzego za leta z'ubuvuzi bw'imiterere?

6- Nk'uko amategeko abivuga, biroroshye kubona serivisi z'ubuvuzi bw'imiterere mu muryango wawe?

7-Uko wumva ubuzima bwawe bw'imiterere muri iki gihe?

8-Hari amateka y'indwara z'imiterere mu muryango wawe?

9-Niba "Yego", nyamuneka hitamo umuryango waba ufite amateka y'indwara y'imiterere?

10-Mu mezi 12 ashize, ese wowe cyangwa umwe mu bo mu muryango wawe mwagize inama?

11-Ufite umuco wo gukoresha ibiyobyabwenge cyangwa inzoga?

12-Wigeze wumva umerewe nabi cyangwa wumva utishimye mu gihe cy'ibyumweru birenga 2?

13-Ubuhanga bwawe ku bibazo bijyanye n'ubuzima bw'imiterere ni bangahe?

14-Mu bitekerezo byawe, ni ibihe bibazo by'ubuzima bw'imiterere biba mu muryango wawe?

15-Wakwemera inshuti cyangwa umukozi wawe ufite ikibazo cy'ubuzima bw'imiterere?

16-Ni gute umuryango wagombye kwitaba ibibazo by'ubuzima bw'imiterere?

17-Ni iyihe nzira ikomeye umuryango w'ubuvuzi ushobora gukemura ibibazo by'ubuzima bw'imiterere?

18-Wakora iki kugira ngo ubone ibimenyetso n'ibimenyetso by'umuntu ufite ikibazo cy'ubuzima bw'imiterere?

19-Niba hari ikindi kintu ushaka kutubwira ku byerekeye uburambe bwawe mu buvuzi bw'imiterere mu mezi 12 ashize, nyamuneka tubwire hano.