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?

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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)

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

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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?

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

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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
Initial greeting
Confidential
Making an appointment
Waiting time to be seen
Service received
Privacy
Follow up

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

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