Number 10 Riverton Youth Survey

Question Title

* 1. How often do you access health services in Riverton?

Never

Once or twice a year

Regularly

Very often

Question Title

* 2. How often do you access health services outside of Riverton?

Never

Once or twice a year

Regularly

Very often

Question Title

* 3. If there was a free nurse service available in Riverton specifically for young people, what is the likelihood you would use it?

Highly unlikely

Unlikely

Neither likely nor unlikely

Likely

Highly likely

Question Title

* 4. Which of these do you think are important health services for young people in your community? (choose as many as you think apply)

Access to contraception

Youth-friendly health professionals

Access to mental health support

Free health services

Access to local health services

Access to rainbow friendly health services

Other (please specify)

Question Title

* 5. Which of these do you think are other important services for young people in your community (choose as many as you think apply)

Having help setting goals

Having someone to bounce ideas off

Support to build confidence

A listening ear

Help with specific issues such as relationship concerns, bullying etc

Youth interest groups (eg rainbow support, dance, art)

Issues at school

Other (please specify)

Question Title

* 6. What services for young people would you like to see developed in Riverton?

Question Title

* 7. How old you are you?

Under 10 years

10-24 years

25+ years

Question Title

* 8. Please specify the gender you identify as.

Male

Female

Gender Diverse

Non-Binary

Agender

Transgender F to M

Transgender M to F

Other

Question Title

* 9. Your answers will remain anonymous; however, if you'd like to go into the draw for a prize, please provide a first name and way to contact you (cell phone number or email address).

Name

Email Address

Phone Number