This survey is being carried out on behalf of the Health Improvement Partnership as part of Kilcooley Neighbourhood Renewal Programme, which brings together different government departments, agencies, communities and others to work together to improve the quality of life for those living in Kilcooley and the surrounding area.

Your views and opinions are important to us and the purpose of this survey is to identify the key health issues in the community and surrounding area as identified by the residents themselves. The information obtained from this survey will enable us to then address the key health priorities in the area and target resources effectively.

This survey is anonymous. Your answers will not be connected to you in anyway. Please do not write your name on the survey.

We would be grateful if you could take a few minutes to complete this short survey.

If you have any queries, please contact Dawn McElroy, Project Manager
Tel. 028 9147 8292 or email us at info@kilcooleywomenscentre.co.uk

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* 1. What is your postcode ?

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* 2. What is your gender ?

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* 3. What age range do you fall in to?

Personal Health

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* 4. How would you rate your own personal health ?

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* 5. Do you consider yourself to have a disability or long term health condition?

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* 6. Are you in receipt of long term health benefits such as Universal Credit or Personal Independence Payment ?

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* 7. Have you experienced difficulty affording food /fuel and paying your day to day living costs in the past 12 months?

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* 8. KWC operates a Social Supermarket and Community Fridge weekly to help people with key food items, hygiene products and cupboard staples. Have you used this service and how did it impact your ability to cope with the cost of living crisis?

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* 9. How long is it since you last had a routine check up with your GP ?

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* 10. Have you had to use A and E as a result of not being able to see your GP?

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* 11. How long is it since you visited the dentist ?

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* 12. Which of the following best describes your typical physical activity levels.

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* 13. In the past 12 months, how often, if ever, have you misused prescription drugs, including exceeding dose, obtaining prescription medication from friends than directed by a doctor?

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* 14. In the past 12 months, if ever, have you used illegal drugs (eg cannabis, cocaine)

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* 15. How often do you eat fruit and vegetables?

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* 16. Do you smoke ?

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* 17. Do you vape ?

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* 18. How often would you have an alcoholic drink ?

Health Service Provision/ Resources

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* 19. From the following list, please state what you think are the 3 most common unhealthy behaviours in the community.

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* 20. In your opinion, which health behaviours do people in your own community need more information about?

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* 21. In what format do you prefer health information to be presented?

Early Years Provision

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* 22. What wellbeing services / classes would you like to see in the area?

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* 23. Is there any additional activities you would like your child/children to be involved in?

Older People Provision

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* 24. Thank you for completing this survey. If you have any comments please leave below.

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