Being Herd Sign Up

Welcome!

This form will help us understand a bit more about you and the experiences that make up your mental health journey. At batyr, we believe every story is valid, worthy of being heard and has the potential to have a positive impact and we would love to hear more about your unique journey that has led you to batyr.

It is really important for us to ensure that you are in the best possible place to be coming along to one of our workshops so we will be asking some questions about your mental health history and your current supports. The process of reflecting on your journey through answering some of these questions can be a great first step in identifying key challenges and support people in your journey, but if it does bring up any difficult emotions we would encourage you to pause and access support from your own personal or professional support network or try one of these services to call or chat online with a mental health professional: link for more information.

The form will take approximately 15 minutes to complete, if you have any questions as you move through the form, please feel free to reach out to us by emailing beingherd@batyr.com.au.

If you are unable to complete this form, please send us an email at beingherd@batyr.com.au, and one of our team will reach out to you directly to chat about attending a workshop.

Please note your expression of interest form and any notes from our conversations with you will be shared internally with relevant batyr staff members as well as with the Youth Support Person who attends your Being Herd Workshop. This may include your name and address. You can read our full Privacy Collection Statement, which includes a link to our Privacy Policy. If you would like to contact us regarding our collection of your personal information, please contact: hello@batyr.com.au.

First Name

Last Name

Pronouns

Pronouns: Other

Date of Birth

Reminder Being Herd is for 18-30yrs

Phone

Postcode

Suburb

State

Emergency contact's full name

Emergency contact's phone number

Emergency Contact's relationship to you

Relationship: Other (please specify)

Are you of Aboriginal origin, Torres Strait Islander origin, or both?

What cultural background do you identify with?

In which country were you born?

Country: Other (please specify)

Do you speak a language other than English at home?

Please indicate the main language other than English spoken at home:

Language: Other (please specify)

Preferred Language

Do you have any disabilities/health conditions?

Disabilities/health condition: (please specify)

Do you require an interpreter?

Do you require any mobility assistance?

Current Residential Status

Which Institution?

Are you a current or former international Student?

What are you studying?

Are there any other committments?

How did you hear about batyr?

What mental health organisation?

Which mental health professional?

What event?

Have you ever been formally diagnosed with a mental illness and/or disorder?

Please note you do not need a formal diagnoses to participate in the workshop

Formal diagnoses

Are you currently linked in with professional support?

Professional Support

Are you currently supported by friends or family?

Friends and/or Family Support

Have you shared your lived experience of mental health with others before?

Context: Other (please specify)

Is there a particular reason why you have not shared your experiences before?

Please give us a brief outline of the key challenge(s) in your journey?

What interests you about the workshop?

Being a batyr Storyteller means that you are playing a core role in changing the conversation around mental ill-health in high schools. Your role will be to share your 10-minute story within our structured programs which run for 60-90 minutes for an audience of around 40-200 students to help more young people feel less alone and more empowered to reach out for support when they need it. Does being a batyr Storyteller sound like something you’re interested in?

I agree to the Privacy Policy

I would like to receive updates from batyr about impact, news and events

Need assistance with this form? Contact us at beingherd@batyr.com.au.

Abuse	Academic pressure
Anxiety	Being in carer role for someone
Bipolar	Body Image Difficulties
Bullying (including cyber bullying)	Depression
Discrimination	Disordered Eating
Family expectations	Family Member with Mental Ill Health
Friend with Mental Ill Health	Grief
Isolation/loneliness	Long-term physical illness or injury
Mania	Obsessive Compulsive Behaviors
Panic Attacks	Personality Disorder
Psychosis	Relationship difficulties
Self-harm	Sexual Assault
Social disadvantage, poverty, or debt	Stress/Pressure
Substance use	Suicidal Thoughts
Suicide Attempt	Trauma
Other

Counsellor	Family	Friends
GP	Groups	Other Mental health professional
Other organisation	Psychiatrist	Psychologist
Religious organisation	Online forums	Online (other)
Other (please specify)

As an organisation representative	In a public setting
Online	With family
With friends	With your partner
Other (please specify)