LYSIS USER QUESTIONNAIRE
Name
Age
Area
Friends
Information read
Outness
mother
father
siblings
friends
others
Method of contact
a. letter
b. telephone
Information sent
a. booklet
b. pack
c. local contacts
d. further, relevant, information
Pen-pal
Referral
On-going
a. telephone
b. correspondence
Advocacy
Coming Out
LYSIS member
Evaluation form: help received good/bad; met needs?
Specific Problems
Six-monthly check up