This survey is for 14 – 25 year olds who live, work or study in the borough of Croydon. Off The Record Youth Counselling Agency and Young People Insight want to gather knowledge on your experiences with self-harm, so that more detailed information will available to help young people in Croydon dealing with this.

The information gathered here will be anonymously used to inform the planning of local support services. Your survey responses will be compiled anonymously and no personal information will be seen that could identify you.
· Completing this survey is entirely optional.

Please answer as many questions as you can, although none of the questions are compulsory (you can skip questions that are you do not want to answer.) All the information you can provide is useful.

If you would like further knowledge on the subject of self-harm, it can be found here: http://www.nhs.uk/conditions/Self-injury/Pages/Introduction.aspx. If you are under 13 and feel that you may need support or to speak to someone regarding self-harm, please call Childline on 0800 1111, and if you are over 20, please call Samaritans free helpline on 116 123.

For those of you who may want to speak to someone confidentially after taking this survey, please get in contact with Off The Record by calling us at 020 8251 0251 or email us at info@offtherecordcroydon.org

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* 1. Have you ever engaged in self-harm?

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* 2. Have you engaged in any of the following self-harming methods? (Please select all that apply)

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* 3. If you have engaged in self-harm in the past, what helped you to stop?

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* 4. Are you able to describe how self-harming makes you feel?

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* 5. Are you aware of support services available locally or nationally?

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* 6. Do you think you should be educated about self-harm in school?

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* 7. Do you think enough information about self-harm is made available to parents and guardians?

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* 8. What method of support do you think is appropriate to address self-harm?

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* 9. Are you: (Please select all that apply)

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* 10. How old are you?

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