Why we Collect your Information Question Title * 1. Do you trust Bridgewater with your health information? Yes No Question Title * 2. Are you confident that Bridgewater holds your information securely? Yes No Question Title * 3. For continuity of care, occasionally we may have to share your information with other health professionals. With this in mind, if you have visited Bridgewater in the past 12 months for treatment, have you ever been asked permission to share your information? Yes No Question Title * 4. At your first assessment, were you told how your personal information will be used? Yes No Question Title * 5. Have you been told how you could access your information if you chose to do so? Yes No Question Title * 6. Have you been told what type of organisation your information might be shared with? Yes No Question Title * 7. Are you confident that all Bridgewater staff respect your confidentiality? Yes No Don't know Question Title * 8. Are your preferences for sharing information with your partner, family members and/or carers established, respected and reviewed throughout your care? Yes No Question Title * 9. Have you ever been concerned that Bridgewater staff did not respect your confidentiality? Yes No If yes, why were you concerned? Please provide a brief summary. Question Title * 10. Do you know where you can find further details about how to access your own health records? Yes No Question Title * 11. Are you confident that Bridgewater can provide you with health information in a format that would suit you? Yes No Done