Julian's Key Health Passport Evaluation Survey form

This short survey helps inform us about your experience with Julian’s Key Health Passport (Julian’s Key).

When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.

Survey information

Thank you for taking the time to share your feedback about Julian’s Key through this voluntary and anonymous survey. Sharing your experience with Julian’s Key will help us to better understand what matters most to persons with disability, their carers and support teams when engaging with health care providers, in addition to enabling Queensland Health staff and disability service providers to share their insights and feedback.

To share more detailed feedback or for more information, please email our team at julianskey@health.qld.gov.au.

About you

Are you:

People with disability and carers

Are you:
Do you identify as:
What is your age?
How you communicate:
Do you use interpreter services when interacting with the healthcare system?

Have you be a patient or carer in a Queensland Health hospital?
In the last 6 months:
In the last 12 months:
If known, which Health and Hospital Service do you primarily use?
How did you hear about Julian's Key?
How did you get your Julian's Key?

People with disability and carers - Using Julian's Key

Have you completed or supported completion of a Julian's Key?
How long did it take to complete Julian's Key?
What type of Julian's Key do you have?
Have you presented with Julian's Key at any of the following?
Using Julian's Key has improved my healthcare experience (when compared to previous admissions)?
What factors contributed to selecting this rating?
Using Julian's Key improved information sharing with my healthcare team?
What factors contributed to selecting this rating?
Using Julian's Key I felt more in control or confident about my healthcare?
What factors contributed to selecting this rating?
I would recommend Julian's Key to people in my community?

Disability Service Providers

In which Hospital and Health Service region/s do you mainly provide services (not your organisation but your role)?
Which of the following best describes your role?
Where did you hear about Julian's Key?
How did you get your Julian's Key?
Does your organisation promote and encourage people with disability to use Julian's Key (or other health passports)?
Approximately how many people does your organisation support?
Approximately how many staff are employed by your organisation?

Disability Service Providers - Using Julian's Key

On average how long did it take to complete Julian's Key?
What type of Julian's Key have you interacted with?
Approximately how manay of your clients/patients have presented to a Queensland Health facility with their Julian's Key?

Based upon you and your client/patient's experience with Julian's Key in Queensland Health hospitals or clinics, please select a rating for each of the following statements:

a. Using Julian's Key improved their healthcare experience (when compared to previous admissions).
b. Using Julian's Key improved information sharing with their healthcare team.
c. Using Julian's Key helped them feel more in control or confident about their healthcare.
d. Julian's Key has had a positive impact.
e. I recommend or would recommend Julian's Key to people in my community.
f. The Queensland Health staff recognised and knew what to do with the health passport.

Queensland Health Staff

Select the Hospital and Health Service regions or department in which you personally operate or work most closely with: Please select no more than two (2) options.
Do you work in any of the following: Please select no more than four (4) options.
Which of the following best describes your role?
Do you have lived experience of disability?
Where did you hear about Julian's Key?
Are Julian's Key resources visible in your workplace?
Is Julian's Key used in your work area?
Have you attended any of the following: Please select no more than four (4) options.

Queensland Health Staff - Using Julian's Key

Have you completed or helped someone to complete their Julian's Key?
How long did it take to complete Julian's Key?
Approximately how many of your patients have used their Julian's Key?
What type of Julian's Key have you interacted with?

Based upon your experience with Julian's Key in Queensland Health hospitals or clinics, please select a rating for each of the following statements:

a. Using Julian's Key has improved patient healthcare experience (when compared to previous admissions).
b. Using Julian's Key improved information sharing between the patient and their  healthcare team.
c. Information within the patient's Julian's Key helped the care team to understand the patient's needs and accommodate any reasonable adjustments.
d. Julian's Key has had a positive impact. 
e. I recommend or would recommend Julian's Key to patients or colleagues.
Does your work area have a procedure to incorporate Julian's Key?
Have you transcribed information from a patient's Julian's Key into the Health Passport Chart Summary?
Has the Health Passport Chart Summary been uploaded into a clinical system or included within the patient's medical record?

Please tell us more about your experience with Julian's Key

Last updated: 12 October 2026