Revised Western Australian Advance Health Directive Consultation Survey

Closed 4 Sep 2020

Opened 27 Jul 2020


An Advance Health Directive (AHD) is a legal document in which an individual may indicate whether they consent or refuse particular medical treatments in particular circumstances. More information on the current Western Australian (WA) AHD template is available for background information.

The draft revised WA AHD template is being developed by the End of Life Care (EOLC) Program within the WA Department of Health.

The revised AHD is being developed following recommendations from the Ministerial Expert Panel on Advance Health Directives: Final Report (August 2019) and aims to enable Western Australians to more effectively engage in advance care planning. 

Why we are consulting

The EOLC Program is seeking input into the development of the revised AHD via the completion of a survey. The survey seeks to gather your input on the content to be included in the AHD.

We encourage all members of the WA community to have their say by completing this online survey. In particular, we are seeking input from people who have completed or are considering completing an AHD, and health professionals who assist their patients and clients in the completion of an AHD.

The information collected by this survey will inform and guide the development of the revised template and support its implementation across WA. 

The EOLC Program will also be hosting interactive face-to-face and video-based consultation workshops to gather stakeholder feedback on the development of the revised template. Please visit for further information about these events.

If you are not familiar with advance care planning or AHDs, we encourage you to find out more about this topic by reading the information in the links on the AHD consultation home page.

The survey is expected to take approximately 20 minutes to complete.

All responses to this survey are anonymous and will remain confidential.

There is an opportunity for you to provide general or specific feedback about the revised AHD template at the end of the survey if you wish.

You may exit the survey at any time and can save your progress by providing your email address. Please note that your results will not be submitted, if you do not press "submit" at the end of the survey. 

To begin the survey, click on the 'Online Survey' link below.

If you have any queries, please email the EOLC Program at or phone 9222 2300.


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