Demographic Information

1. What is your family member's gender?  
 Male
 Female
 Trans or Two-Spirited

2. What is your family member's age range?  
 Under 20
 20-24
 25-34
 35-44
 45-54
 55-64
 65 and up

3. How long has your family member been diagnosed with schizophrenia?  
 Less than 5 years
 5-10 years
 11-15 years
 More than 15 years

4. Is your family member currently taking any antipsychotic medications?
 
 Yes
 No

5. To the best of your knowledge, which medications has your family member tried for schizophrenia/psychosis?