Health Services for Young People age 12-24 years.

Going to see a doctor, nurse, dentist, social worker, counselor or physio at a health or social service can be tricky sometimes. To make this easier we want to HEAR FROM YOU! Please take your time to answer this short survey, we do value your feedback!

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1. What is your age?

12 to 13

14 to 15

16 to 18

19 to 20

21 to 24

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2. What is your gender?

Female

Male

Gender Diverse

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3. What is your ethnicity? (Please select all that apply.)

New Zealand European

New Zealand Maori

Pacific Island

Asian

Other European

Something else (such as....)

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4. Name the town closest to where you normally live.

Nelson

Richmond

Motueka

Golden Bay

Tapawera

Murchison

Somewhere else (where...)

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5. What best describes your current situation?

Nelson

Employed

Unemployed

On a benefit such as Supported Living benefit or Disability benefit

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6. Where did you find out about the survey? (Please circle one answer)

Church or recreation group

Place of work

Alternative Education

School

Community Course

Nelson City Council or Tasman District Council

Health facility

NMIT

Whakatu Marae/Te Awhina Marae

Youth worker

Other (What....?)

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7. On a scale of 1 (unlikely) to 5 (extremely likely), if you or a friend needed to find a health or social service, where would you go to for information of what is available?
(1 = not likely, 5 = extremely likely)

	1	2	3	4	5
Child, Youth and Family	Child, Youth and Family 1	Child, Youth and Family 2	Child, Youth and Family 3	Child, Youth and Family 4	Child, Youth and Family 5
Library	Library 1	Library 2	Library 3	Library 4	Library 5
Independent Nursing Medical Centre	Independent Nursing Medical Centre 1	Independent Nursing Medical Centre 2	Independent Nursing Medical Centre 3	Independent Nursing Medical Centre 4	Independent Nursing Medical Centre 5
GP/Doctor	GP/Doctor 1	GP/Doctor 2	GP/Doctor 3	GP/Doctor 4	GP/Doctor 5
Emergency Department	Emergency Department 1	Emergency Department 2	Emergency Department 3	Emergency Department 4	Emergency Department 5
Parent	Parent 1	Parent 2	Parent 3	Parent 4	Parent 5
Teacher	Teacher 1	Teacher 2	Teacher 3	Teacher 4	Teacher 5
School Guidance counsellor	School Guidance counsellor 1	School Guidance counsellor 2	School Guidance counsellor 3	School Guidance counsellor 4	School Guidance counsellor 5
Internet	Internet 1	Internet 2	Internet 3	Internet 4	Internet 5
Youth worker	Youth worker 1	Youth worker 2	Youth worker 3	Youth worker 4	Youth worker 5

Other (such as......)

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8. What health or social services have you been to in the last year?

Maori health service

Nurse

Physiotherapist

Youth Drug and Alcohol

Sexual health service e.g. INP

Doctor

Specialist

Dentist

Emergency Department

Community agency

Counsellor

Natural therapist

Mental health service e.g.CAMHS

Other (such as.....)

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9. On a scale of 1 (not important) to 5 (very important) what do you think are important things for a health or social service to have for young people?

	1	2	3	4	5	N/A
Have a health service at school or close to get to	Have a health service at school or close to get to 1	Have a health service at school or close to get to 2	Have a health service at school or close to get to 3	Have a health service at school or close to get to 4	Have a health service at school or close to get to 5	Have a health service at school or close to get to N/A
Not feeling judged	Not feeling judged 1	Not feeling judged 2	Not feeling judged 3	Not feeling judged 4	Not feeling judged 5	Not feeling judged N/A
No cost	No cost 1	No cost 2	No cost 3	No cost 4	No cost 5	No cost N/A
Online chat that's private	Online chat that's private 1	Online chat that's private 2	Online chat that's private 3	Online chat that's private 4	Online chat that's private 5	Online chat that's private N/A
Confidentiality	Confidentiality 1	Confidentiality 2	Confidentiality 3	Confidentiality 4	Confidentiality 5	Confidentiality N/A
Website to go to	Website to go to 1	Website to go to 2	Website to go to 3	Website to go to 4	Website to go to 5	Website to go to N/A
Don't need to make appointments, can just walk in	Don't need to make appointments, can just walk in 1	Don't need to make appointments, can just walk in 2	Don't need to make appointments, can just walk in 3	Don't need to make appointments, can just walk in 4	Don't need to make appointments, can just walk in 5	Don't need to make appointments, can just walk in N/A
0800 number	0800 number 1	0800 number 2	0800 number 3	0800 number 4	0800 number 5	0800 number N/A
Text results or appointments	Text results or appointments 1	Text results or appointments 2	Text results or appointments 3	Text results or appointments 4	Text results or appointments 5	Text results or appointments N/A
Young people have a say with how it's run	Young people have a say with how it's run 1	Young people have a say with how it's run 2	Young people have a say with how it's run 3	Young people have a say with how it's run 4	Young people have a say with how it's run 5	Young people have a say with how it's run N/A
After school or evening appointments	After school or evening appointments 1	After school or evening appointments 2	After school or evening appointments 3	After school or evening appointments 4	After school or evening appointments 5	After school or evening appointments N/A
Available through Skype	Available through Skype 1	Available through Skype 2	Available through Skype 3	Available through Skype 4	Available through Skype 5	Available through Skype N/A
Culturally relevant	Culturally relevant 1	Culturally relevant 2	Culturally relevant 3	Culturally relevant 4	Culturally relevant 5	Culturally relevant N/A
Cost $10 and under	Cost $10 and under 1	Cost $10 and under 2	Cost $10 and under 3	Cost $10 and under 4	Cost $10 and under 5	Cost $10 and under N/A

Other (such as....)

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10. On a scale of 1 (worst experience ever) to 5 (best experience ever) how would you rate the following experiences when seeing a health or social service?

	1	2	3	4	5	N/A
Privacy	Privacy 1	Privacy 2	Privacy 3	Privacy 4	Privacy 5	Privacy N/A
Service received	Service received 1	Service received 2	Service received 3	Service received 4	Service received 5	Service received N/A
Initial greeting	Initial greeting 1	Initial greeting 2	Initial greeting 3	Initial greeting 4	Initial greeting 5	Initial greeting N/A
Confidential	Confidential 1	Confidential 2	Confidential 3	Confidential 4	Confidential 5	Confidential N/A
Making an appointment	Making an appointment 1	Making an appointment 2	Making an appointment 3	Making an appointment 4	Making an appointment 5	Making an appointment N/A
Waiting time to be seen	Waiting time to be seen 1	Waiting time to be seen 2	Waiting time to be seen 3	Waiting time to be seen 4	Waiting time to be seen 5	Waiting time to be seen N/A
Follow up	Follow up 1	Follow up 2	Follow up 3	Follow up 4	Follow up 5	Follow up N/A

Other (What?!)

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1. What is your age?

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2. What is your gender?

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3. What is your ethnicity? (Please select all that apply.)

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4. Name the town closest to where you normally live.

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5. What best describes your current situation?

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6. Where did you find out about the survey? (Please circle one answer)

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7. On a scale of 1 (unlikely) to 5 (extremely likely), if you or a friend needed to find a health or social service, where would you go to for information of what is available?(1 = not likely, 5 = extremely likely)

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8. What health or social services have you been to in the last year?

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9. On a scale of 1 (not important) to 5 (very important) what do you think are important things for a health or social service to have for young people?

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10. On a scale of 1 (worst experience ever) to 5 (best experience ever) how would you rate the following experiences when seeing a health or social service?

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11. If you could create a better health or social service for young people what would it be like?

7. On a scale of 1 (unlikely) to 5 (extremely likely), if you or a friend needed to find a health or social service, where would you go to for information of what is available?
(1 = not likely, 5 = extremely likely)