• Pathways Program Navigation Call Booking

    Pathways Program Navigation Call Booking

  • Before we chat…

    Please answer a few quick questions (around 3–5 minutes).

    Your responses help us understand your current situation so we can make the most of your free Pathways Navigation Call.

    There are no right or wrong answers.

  • Your General Details

  • Which of the following best describes your situation?*
  • DVA Card Type

  • Health Questionnaire

    Please select the ONE box that best describes your health TODAY.
  • MOBILITY*
  • PERSONAL CARE*
  • USUAL ACTIVITIES (e.g. work, study, housework, family or leisure activities)*
  • PAIN / DISCOMFORT*
  • ANXIETY / DEPRESSION*

  • We would like to know how good or bad your health is TODAY.


    This scale is numbered from 0 to 100.

    • 100 means the best health you can imagine.
    • 0 means the worst health you can imagine.

    Please move the slider on the scale to indicate how your health is TODAY.

  • Goals

  • Which topics would you most like support with? (Select up to 3)

  • Existing Supports

  • Are you currently seeing any of the following? (Select all that apply)
  • Should be Empty: