headspace Echuca design survey

Echuca Regional Health has been awarded the ‘Lead Agency’ role of the Echuca headspace Centre.

During the development of headspace Echuca and outreach locations, we will be designing many aspects of our services, and of the establishment, with and around young people. Therefore, within this process, we hope to gain more understanding of mental health in our youth, in the areas in which headspace will service.

We want to hear from people aged between 12-25 years, so we can better identify what is working well, and where the gaps lie, in regards to mental health and well-being.

If you are aged 12-25 years please fill out this survey, and help support and improve our knowledge of mental health, and it’s supports, in the region.

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* 1. Where do you live?

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* 2. What is your age?

12-15

16-18

19-21

22-25

25 or above

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* 3. What gender do you identify as?

Female

Male

Non-binary

Prefer not to say

Prefer to self describe

Please self describe

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* 4. Do you identify as Aboriginal and/or Torres Strait Islander?

Yes Aboriginal and/or Torres Strait Islander

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* 5. Were you born in Australia?

Yes

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

Yes

No, English only

If yes, what language do you speak at home?

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* 7. Do you or someone in your family identify as a person with disability?

Yes

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* 8. Do you or someone in your family identify as a person with a Mental Health condition?

Yes

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* 9. Do you consider yourself a member of the Lesbian, Gay, Bisexual Transgender, Intersex, Queer/Questioning and/or Asexual Plus (LGBTIQA+) community?

Yes

No, but I identify as an Ally

Prefer not to say

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* 10. What does good and poor mental health mean to you?

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* 11. What does seeking help for mental health look like to you?

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* 12. What is helpful and unhelpful for seeking help for mental health?

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* 13. Tell us about a positive and/or negative experience you've had in relation to mental health?

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* 14. In the future, what could be helpful or unhelpful to improve your mental health?

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* 15. Would you like to be involved in providing further information for the design of headspace in the region? If yes please leave contact details.

Name

Email Address

Phone Number