Clozapine: Proposed changes to blood monitoring and prescribing requirements - consultation questions for consumers and families - Page 1 of 4 - New Zealand Ministry of Health

Page 1 of 4

Introduction

This consultation is for people taking clozapine. A family member or caregiver can also answer on someone's behalf. There is a separate consultation for health professionals here.

Please complete the following introductory questions before starting the survey.

Questions 1 and 2 are compulsory and you need to answer them before moving to the rest of the survey.

Publishing submissions

We intend to publish the submissions from this survey, but we will only publish your submission if you give permission. If you do not want your submission published, please let us know below.

Official Information Act requests

Your submission will be subject to requests made under the Official Information Act (even if it hasn’t been published). Please let us know of any information that you would like us to remove from your response. We will take this into account when responding to requests under the Official Information Act.

1. Please select from below which best describes you.

(Required) Person who takes clozapine Family member or caregiver of someone who takes clozapine

2. May we publish this submission?

(Required) Yes. You may publish this submission. No. Do not publish this submission.

3. Please describe the information in your submission that you would like us to withhold.

Information to withold