Central Goldfields Region Health and Wellbeing Survey

Community Health and Wellbeing

We are committed to working together to create a healthier and happier community in the Central Goldfields Region.

Central Goldfields Shire Council, Maryborough District Health Service, Central Victorian Primary Care Partnership, Loddon Mallee Women's Health, The Department of Health and Human Services and Asteria have worked together over the past 6 months looking at what information we already have on the health and wellbeing of our community.

We are excited to provide you with an opportunity to tell us how we can support your health and wellbeing. Your contribution will help us improve our individual and shared planning over the next four years.

This survey will close on the 31st of March 2017.

If you have any questions about the survey, please contact:

Emma Shannon from Central Victorian Primary Care Partnership, 5472 5333

Lifeline (24/7) 13 11 14 or www.lifeline.org.au
Beyondblue support service (24/7) 1300 224 636

Suicide Call Back Service 1300 659 467

Kids Helpline (24/7) 1800 551 800

MensLine Australia (24/7) 1300 789 978

Centre for Non Violence 1800 844 038 or 5430 3000

Safe steps Family Violence Response 1800 015 188

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* 1. What is your postcode?

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* 2. Are you:

Male

Female

Transgender

Other (please specify)

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* 3. Please state your age

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* 4. Are you of Aboriginal or Torres Strait islander background?

Yes

Unsure

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* 5. Do you identify as having a disability?

Yes

Other (please specify)

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* 6. Are you a Carer of a person with a disability?

Yes

Other (please specify)

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* 7. Many factors influence the health and wellbeing of a community. How do you rate the following?

	Not at all important	Slightly important	Important	Very important	Unsure	N/A
Reducing harmful alcohol and drug use	Reducing harmful alcohol and drug use Not at all important	Reducing harmful alcohol and drug use Slightly important	Reducing harmful alcohol and drug use Important	Reducing harmful alcohol and drug use Very important	Reducing harmful alcohol and drug use Unsure	Reducing harmful alcohol and drug use N/A
Preventing violence and injury	Preventing violence and injury Not at all important	Preventing violence and injury Slightly important	Preventing violence and injury Important	Preventing violence and injury Very important	Preventing violence and injury Unsure	Preventing violence and injury N/A
Sexual and reproductive health	Sexual and reproductive health Not at all important	Sexual and reproductive health Slightly important	Sexual and reproductive health Important	Sexual and reproductive health Very important	Sexual and reproductive health Unsure	Sexual and reproductive health N/A
Improving mental health	Improving mental health Not at all important	Improving mental health Slightly important	Improving mental health Important	Improving mental health Very important	Improving mental health Unsure	Improving mental health N/A
Social connection	Social connection Not at all important	Social connection Slightly important	Social connection Important	Social connection Very important	Social connection Unsure	Social connection N/A
Access to healthy natural and built environments	Access to healthy natural and built environments Not at all important	Access to healthy natural and built environments Slightly important	Access to healthy natural and built environments Important	Access to healthy natural and built environments Very important	Access to healthy natural and built environments Unsure	Access to healthy natural and built environments N/A
Tobacco and smoke free living	Tobacco and smoke free living Not at all important	Tobacco and smoke free living Slightly important	Tobacco and smoke free living Important	Tobacco and smoke free living Very important	Tobacco and smoke free living Unsure	Tobacco and smoke free living N/A
Oral health	Oral health Not at all important	Oral health Slightly important	Oral health Important	Oral health Very important	Oral health Unsure	Oral health N/A
Food and drink choices	Food and drink choices Not at all important	Food and drink choices Slightly important	Food and drink choices Important	Food and drink choices Very important	Food and drink choices Unsure	Food and drink choices N/A
Active living	Active living Not at all important	Active living Slightly important	Active living Important	Active living Very important	Active living Unsure	Active living N/A

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* 8. Do the following meet your needs?

	Yes	No	Unsure
Local sporting facilities	Local sporting facilities Yes	Local sporting facilities No	Local sporting facilities Unsure
Local library	Local library Yes	Local library No	Local library Unsure
Local cultural facilities	Local cultural facilities Yes	Local cultural facilities No	Local cultural facilities Unsure
Local health services	Local health services Yes	Local health services No	Local health services Unsure
Local newspapers	Local newspapers Yes	Local newspapers No	Local newspapers Unsure
Local businesses	Local businesses Yes	Local businesses No	Local businesses Unsure
Local playgrounds	Local playgrounds Yes	Local playgrounds No	Local playgrounds Unsure
Organised sport options	Organised sport options Yes	Organised sport options No	Organised sport options Unsure
Public transport	Public transport Yes	Public transport No	Public transport Unsure
Local parks and gardens	Local parks and gardens Yes	Local parks and gardens No	Local parks and gardens Unsure

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* 9. Following is a list of statements about personal health and wellbeing. How much do you agree with each statement?

	Strongly disagree	Disagree	Neutral	Agree	Strongly agree	Unsure	N/A
I am satisfied that the amount of alcohol I drink doesn’t impact my health	I am satisfied that the amount of alcohol I drink doesn’t impact my health Strongly disagree	I am satisfied that the amount of alcohol I drink doesn’t impact my health Disagree	I am satisfied that the amount of alcohol I drink doesn’t impact my health Neutral	I am satisfied that the amount of alcohol I drink doesn’t impact my health Agree	I am satisfied that the amount of alcohol I drink doesn’t impact my health Strongly agree	I am satisfied that the amount of alcohol I drink doesn’t impact my health Unsure	I am satisfied that the amount of alcohol I drink doesn’t impact my health N/A
I am satisfied the amount of recreational drug use I use doesn’t impact my health	I am satisfied the amount of recreational drug use I use doesn’t impact my health Strongly disagree	I am satisfied the amount of recreational drug use I use doesn’t impact my health Disagree	I am satisfied the amount of recreational drug use I use doesn’t impact my health Neutral	I am satisfied the amount of recreational drug use I use doesn’t impact my health Agree	I am satisfied the amount of recreational drug use I use doesn’t impact my health Strongly agree	I am satisfied the amount of recreational drug use I use doesn’t impact my health Unsure	I am satisfied the amount of recreational drug use I use doesn’t impact my health N/A
My personal relationships are based on respect equality and free from violence	My personal relationships are based on respect equality and free from violence Strongly disagree	My personal relationships are based on respect equality and free from violence Disagree	My personal relationships are based on respect equality and free from violence Neutral	My personal relationships are based on respect equality and free from violence Agree	My personal relationships are based on respect equality and free from violence Strongly agree	My personal relationships are based on respect equality and free from violence Unsure	My personal relationships are based on respect equality and free from violence N/A
I am satisfied with my sexual and reproductive health	I am satisfied with my sexual and reproductive health Strongly disagree	I am satisfied with my sexual and reproductive health Disagree	I am satisfied with my sexual and reproductive health Neutral	I am satisfied with my sexual and reproductive health Agree	I am satisfied with my sexual and reproductive health Strongly agree	I am satisfied with my sexual and reproductive health Unsure	I am satisfied with my sexual and reproductive health N/A
I am satisfied with my level of mental wellbeing	I am satisfied with my level of mental wellbeing Strongly disagree	I am satisfied with my level of mental wellbeing Disagree	I am satisfied with my level of mental wellbeing Neutral	I am satisfied with my level of mental wellbeing Agree	I am satisfied with my level of mental wellbeing Strongly agree	I am satisfied with my level of mental wellbeing Unsure	I am satisfied with my level of mental wellbeing N/A
I am satisfied with how I cope with stress	I am satisfied with how I cope with stress Strongly disagree	I am satisfied with how I cope with stress Disagree	I am satisfied with how I cope with stress Neutral	I am satisfied with how I cope with stress Agree	I am satisfied with how I cope with stress Strongly agree	I am satisfied with how I cope with stress Unsure	I am satisfied with how I cope with stress N/A
I feel connected to my community	I feel connected to my community Strongly disagree	I feel connected to my community Disagree	I feel connected to my community Neutral	I feel connected to my community Agree	I feel connected to my community Strongly agree	I feel connected to my community Unsure	I feel connected to my community N/A
I am satisfied with my level of access to healthy natural and built environments	I am satisfied with my level of access to healthy natural and built environments Strongly disagree	I am satisfied with my level of access to healthy natural and built environments Disagree	I am satisfied with my level of access to healthy natural and built environments Neutral	I am satisfied with my level of access to healthy natural and built environments Agree	I am satisfied with my level of access to healthy natural and built environments Strongly agree	I am satisfied with my level of access to healthy natural and built environments Unsure	I am satisfied with my level of access to healthy natural and built environments N/A
Tobacco and smoke free living	Tobacco and smoke free living Strongly disagree	Tobacco and smoke free living Disagree	Tobacco and smoke free living Neutral	Tobacco and smoke free living Agree	Tobacco and smoke free living Strongly agree	Tobacco and smoke free living Unsure	Tobacco and smoke free living N/A
I am satisfied with my oral health	I am satisfied with my oral health Strongly disagree	I am satisfied with my oral health Disagree	I am satisfied with my oral health Neutral	I am satisfied with my oral health Agree	I am satisfied with my oral health Strongly agree	I am satisfied with my oral health Unsure	I am satisfied with my oral health N/A
I am satisfied with my food and drink choices	I am satisfied with my food and drink choices Strongly disagree	I am satisfied with my food and drink choices Disagree	I am satisfied with my food and drink choices Neutral	I am satisfied with my food and drink choices Agree	I am satisfied with my food and drink choices Strongly agree	I am satisfied with my food and drink choices Unsure	I am satisfied with my food and drink choices N/A
I am satisfied with how much I exercise	I am satisfied with how much I exercise Strongly disagree	I am satisfied with how much I exercise Disagree	I am satisfied with how much I exercise Neutral	I am satisfied with how much I exercise Agree	I am satisfied with how much I exercise Strongly agree	I am satisfied with how much I exercise Unsure	I am satisfied with how much I exercise N/A

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* 10. If you’re not happy with any of the following aspects of your health, how confident are you in your ability to change?

	Not at all confident	A little confident	Confident	Completely confident	Unsure	N/A
Reducing harmful alcohol and drug use	Reducing harmful alcohol and drug use Not at all confident	Reducing harmful alcohol and drug use A little confident	Reducing harmful alcohol and drug use Confident	Reducing harmful alcohol and drug use Completely confident	Reducing harmful alcohol and drug use Unsure	Reducing harmful alcohol and drug use N/A
Preventing violence and injury	Preventing violence and injury Not at all confident	Preventing violence and injury A little confident	Preventing violence and injury Confident	Preventing violence and injury Completely confident	Preventing violence and injury Unsure	Preventing violence and injury N/A
Sexual and reproductive health	Sexual and reproductive health Not at all confident	Sexual and reproductive health A little confident	Sexual and reproductive health Confident	Sexual and reproductive health Completely confident	Sexual and reproductive health Unsure	Sexual and reproductive health N/A
Improving mental health	Improving mental health Not at all confident	Improving mental health A little confident	Improving mental health Confident	Improving mental health Completely confident	Improving mental health Unsure	Improving mental health N/A
Social connection	Social connection Not at all confident	Social connection A little confident	Social connection Confident	Social connection Completely confident	Social connection Unsure	Social connection N/A
Access to healthy natural and built environments	Access to healthy natural and built environments Not at all confident	Access to healthy natural and built environments A little confident	Access to healthy natural and built environments Confident	Access to healthy natural and built environments Completely confident	Access to healthy natural and built environments Unsure	Access to healthy natural and built environments N/A
Tobacco and smoke free living	Tobacco and smoke free living Not at all confident	Tobacco and smoke free living A little confident	Tobacco and smoke free living Confident	Tobacco and smoke free living Completely confident	Tobacco and smoke free living Unsure	Tobacco and smoke free living N/A
Oral health	Oral health Not at all confident	Oral health A little confident	Oral health Confident	Oral health Completely confident	Oral health Unsure	Oral health N/A
Food and drink choices	Food and drink choices Not at all confident	Food and drink choices A little confident	Food and drink choices Confident	Food and drink choices Completely confident	Food and drink choices Unsure	Food and drink choices N/A
Active living	Active living Not at all confident	Active living A little confident	Active living Confident	Active living Completely confident	Active living Unsure	Active living N/A

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* 11. Do the services in your community meet your needs?

Yes

Unsure

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* 12. How do you prefer to receive information?

Online

Local paper

Pamphlets

Radio

Social media

Community newsletter

I don’t have a preference

Other (please specify)

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* 13. Would you be interested in being involved in the next stage of the consultation process?

Yes

Please provide your email or best contact phone number