Table 1.

Summary of GP consultation assessment form.

Please indicate the degree of psychological disturbance in your patient today by circling an appropriate option:
Normal/stable person with or without physical illness		1
Person with sub-clinical emotional or behavioural disturbance		2
Person with mild psychological disturbance		3
Person with moderate psychological disturbance		4
Person with severe psychological disturbance requiring referral		5
Do you regards this person as having:
Chronic psychological problems?	Yes	No
Significant mental health problems within the last year?	Yes	No
Diagnosis for today's consultation: ____________________________________________
Did you:
Issue a script? (If so, indicate prescription: ________________________)	Yes	No
Make a follow-up appointment?
Refer this patient to a specialist service? (If so, which ______________)	Yes	No
Did you discuss any psychological issue in today's consultation?	Yes	No