1. INTRODUCTION

  • Please do not write your name in this survey.
  • You will not be identified in any way.
  • You do not need to answer any questions that you are not comfortable answering. 
  • Please cut and paste the link at the end of the survey into your search bar to go into the draw to win a $100 prepaid Visa card for completing the questionnaire.
BACKGROUND

Question Title

* 1. How old are you?

Question Title

* 2. Gender

Question Title

* 3. Do you identify as LGBTIQ (lesbian, gay, bisexual, transgender, intersex, or questioning)?

Question Title

* 4. Do you identify yourself as…

Question Title

* 5. Do you identify yourself as someone with a disability?

Question Title

* 6. Do you or your family speak a language other than English at home?

STUDY/WORK AND ACTIVITIES

Question Title

* 7. Are you studying at school, university, correspondence, home school, TAFE or equivalent?

Question Title

* 8. Are you prepared to leave the region to further your study?

Question Title

* 9. Do you have paid work?

Question Title

* 10. How many hours a week do you work on average?

Question Title

* 11. Do you plan to leave the region to pursue a career?

Question Title

* 12. Do you participate in projects, groups or programs with other youth outside of school or work

Question Title

* 13. Do you belong to any formal or informal interest groups, clubs or organisations, (e.g. sports club, car club, book club, fitness group, theatre group, etc)?

Question Title

* 14. In the past year have you been involved in any of the following activities formally or informally?

Question Title

* 15. Apart from your school or your job and members of your household, how often do you have contact with other people where you stop for a chat, talk on the phone or chat online?

Question Title

* 16. How often do you get together with a group of friends, workmates or family for outings, meals or special events?

Question Title

* 17. How often do you attend community events (e.g. music festivals, theatre, markets, local sporting events, school fairs, residents' meetings, local government events, local business groups, local 'clean up' events)?

Question Title

* 18. Do you use any social networking sites? (Tick all that apply)

Question Title

* 19. How many hours a day do you spend on the computer for study or work?

Question Title

* 20. How many hours a day do you spend on the computer for leisure?

Question Title

* 21. What sort of leisure activities do you currently enjoy? (Tick all that apply)

Question Title

* 22. Where do you and your friends like to hang out? (Tick all that apply)

Question Title

* 23. Where are you most likely to find information about events in town?

COMMUNICATION AND INFORMATION

Question Title

* 24. Would you be interested in being part of the decision making process for the Shire youth service or helping with programmes (i.e. attend meetings etc.)?

Question Title

* 25. What day would be the best day for you to attend meetings to discuss Youth issues? Meetings would be held out of school/work hours.

Question Title

* 26. How often would you be happy to attend?

WHERE DO YOU CURRENTLY LIVE

Question Title

* 27. Where do you currently live?

Question Title

* 28. In 10 years from now I picture myself living in….

Question Title

* 29. What is your current mode of transport?

Question Title

* 30. If a public transport system existed in the Shire of Manjimup what would you use it for most?

PHYSICAL AND MENTAL HEALTH

Question Title

* 31. I feel optimistic about the future

Question Title

* 32. I feel good about myself

Question Title

* 33. I feel close to other people

Question Title

* 34. I feel confident

Question Title

* 35. I feel loved

Question Title

* 36. I feel cheerful

Question Title

* 37. How often do you do something physically active (e.g. walking, playing sport, dancing)?

Question Title

* 38. How safe do you feel from violence and abuse (abuse could be verbal, physical or sexual)?

Question Title

* 39. Are there adults outside of your family that you can talk to freely about abuse or violence if this was an issue for you or someone you were worried about?

Question Title

* 40. Do you know of mental health care services (such as counselling) that you can contact if you feel sad or depressed?

Question Title

* 41. If needed, I can get support and help from professionals about all aspects of my health?

Question Title

* 42. Although using illicit drugs is illegal and drinking alcohol under the age of 18 years is against the law, have you partaken in any of these activities over the last 12 months? (Please remember you will not be identified in any way)

Question Title

* 43. Have you in the last year used any of the following drugs? (Please tick all that apply)

Question Title

* 44. Have you in the last year consumed any alcohol? (Please remember you will not be identified in any way)

Question Title

* 45. From whom did you obtain the alcohol you consumed in the last year? (Please tick all that apply)

Question Title

* 46. From where did you buy it?

TELL US ABOUT WHERE YOU LIVE

Question Title

* 47. The best thing about where I live is...

Question Title

* 48. To make where you live a better place right now I would...

Question Title

* 49. To make where you live a better place to live when I am 10 years older I would...

Question Title

* 50. I feel heard as a young person in the Shire of Manjimup?

Question Title

* 51. I think I would be more involved in/aware of Shire activities if they used more social media like Facebook or Twitter

Question Title

* 52. Are you aware that the Shire of Manjimup has a Facebook page?

THANK YOU
Don't forget to go to www.manjimup.wa.gov.au/youth/enter2win for your chance to win a $100 prepaid Visa card! PS: copy and paste the URL

T