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Cancer Screening Services Consumer Survey

Closes 17 Apr 2026

Background Information

1. How do you describe your gender?

(Required) Woman or female Man or male Non-binary I use a different term Prefer not to say

2. Which age group do you belong to?

(Required) Under 25 years 25-39 years 40-44 years 45-49 years 50-69 years 70-74 years 75 years or older Prefer not to say

3. What was your sex recorded at birth?

(Required) Female Male Another term Prefer not to answer

4. Were you born in Australia or overseas?

(Required) Australia Overseas

5. Do you speak a language other than English at home?

(Required) No, English only Yes

6. If you answered "Yes" to the previous question, which language do you usually speak at home?

Language

7. Are you of Aboriginal or Torres Strait Islander origin? (please select one item)

No Yes, Aboriginal Yes, Torres Strait Islander Yes, Aboriginal and Torres Strait Islander

8. Is Western Australia your usual place of residence?

(Required) Yes No Prefer not to say

9. Do you currently hold a valid Medicare card (Australia’s public health insurance)?

(Required) Yes No Prefer not to say

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For more information, contact HealthPolicy@health.wa.gov.au

www.healthywa.wa.gov.au

www.health.wa.gov.au

Acknowledgement of Country
The Government of Western Australia acknowledges the traditional custodians throughout Western Australia and their continuing connection to the land, waters and community. We pay our respects to all members of the Aboriginal communities and their cultures; and to Elders both past and present.