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* 1. Which Local Health District (LHD) Co-Design are you participating in?

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* 2. From what perspective are you predominantly coming to this co-design?

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* 3. How else have you participated in the co-design process?

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* 4. How much do you agree or disagree with the statement below:

  Strongly disagree Somewhat disagree Neutral Somewhat agree Strongly agree
I feel that my perspective is being valued in this co-design as much as anyone else’s.
I feel able to openly communicate my perspectives in this co- design process.
I trust that my contributions will be heard and respected by other co-design participants.
I felt supported to participate in this co- design process.
I feel that my input is being accurately reflected in the feedback loops.
The service model developed accurately reflects the discussions from the co-design process.
I feel a sense of ownership over the draft service model that has been produced.

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* 5. How well do you think this new service will meet the community’s need and expectations?

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* 6. In what ways do you feel safe spaces may assist people experiencing emotional distress or suicidal crisis?  Do you have any concerns?

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* 7. In what ways has your perception of health professionals or people with a lived experience changed as a result of being involved with this co-design process?

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* 8. How did you feel when working collaboratively with health professionals or people with lived experience during this co-design process?

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* 9. Was there anything or anyone missing that we should have involved in the co-design process?

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* 10. What aspects of the co-design process made is easier or harder for you to contribute?

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* 11. What did you like most about the process?

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* 12. There will be other co-design processes taking place locally over the next 12 months. What should we do differently next time?

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