Any information gathered will be used for ongoing development of material associated with the book. Completion of this form gives Elements Integrated Health Consulting permission to use information gathered so that we can continue to meet your needs through mental health services and with the Govt in developing a National Men’s Health Policy. Please provide the following demographic information. Your identity and any information given is and will remain anonymous.

Your constructive comments and feedback are welcome. Constructive criticism contributing to productive suggestions is welcome.

Elizabeth Celi - The True Man feedback form

General Information
Gender:
Age Bracket:
Relationship status:
Number of children
	Boys:
	Girls:
Number of stepchildren
	Boys:
	Girls:
What age are your children(including step children):
	Boys:
	Girls:
About the book
Why did you buy the book?
What is your overall opinion of the book?
Did it help you achieve what you bought it for?
If yes, please specify how? If no, how could it be improved?
About the words from Men for Men
Which of the six men did you relate to the most?
Why?
Did one of the six men say something that encouraged you?
What comment/s did he make that stuck in your mind and why?
Did one of the six men say something that aggravated you?
What comment/s did he make that stuck in your mind and why?
The SUSOWO Syndrome
How has someone SUSOWO’d you in the past? Please share your example/s.
How do you think you’ve SUSOWO’d in the past? Please share your example/s.
Regular Joe, Mr Invincible & The True Man
Please share an example of a Mr Invincible in your life. If you’ve been the Mr Invincible, please share how!
Please share an example of a Regular Joe in your life. If you’ve been the Regular Joe, please share how!
Please share an example of a True Man in your life. If you’ve been the True Man, please share how!
Mentors and the young boys/men in our lives
Who is/has been a True Man Mentor in your life?
Please describe the kind of True Man Mentor you would appreciate for the boys/men in your life?
Please describe how you’ve been a True Man Mentor to other boys and/or men?
As a role model/mentor yourself, what would you want boys and men to appreciate in you?
How is the 21st Century man different to when you were growing up?
Please add any other comments you’d like to make with regard to the book “Regular Joe vs. Mr Invincible – The Battle for the True Man”