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!

Question Title

1. What is your age?

12 to 13

14 to 15

16 to 18

19 to 20

21 to 24

Question Title

2. What is your gender?

Female

Male

Gender Diverse

Question Title

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....)

Question Title

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

Nelson

Richmond

Motueka

Golden Bay

Tapawera

Murchison

Somewhere else (where...)

Question Title

5. What best describes your current situation?

Nelson

Employed

Unemployed

On a benefit such as Supported Living benefit or Disability benefit

Question Title

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

School

NMIT

Community Course

Health facility

Church or recreation group

Whakatu Marae/Te Awhina Marae

Alternative Education

Nelson City Council or Tasman District Council

Place of work

Youth worker

Other (What....?)

Question Title

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
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
Library	Library 1	Library 2	Library 3	Library 4	Library 5
Emergency Department	Emergency Department 1	Emergency Department 2	Emergency Department 3	Emergency Department 4	Emergency Department 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
Parent	Parent 1	Parent 2	Parent 3	Parent 4	Parent 5
GP/Doctor	GP/Doctor 1	GP/Doctor 2	GP/Doctor 3	GP/Doctor 4	GP/Doctor 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
Teacher	Teacher 1	Teacher 2	Teacher 3	Teacher 4	Teacher 5
Youth worker	Youth worker 1	Youth worker 2	Youth worker 3	Youth worker 4	Youth worker 5

Other (such as......)

Question Title

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

Doctor

Community agency

Maori health service

Youth Drug and Alcohol

Dentist

Nurse

Physiotherapist

Sexual health service e.g. INP

Emergency Department

Counsellor

Natural therapist

Specialist

Mental health service e.g.CAMHS

Other (such as.....)

Question Title

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
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
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
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
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
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
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
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
Confidentiality	Confidentiality 1	Confidentiality 2	Confidentiality 3	Confidentiality 4	Confidentiality 5	Confidentiality 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
Culturally relevant	Culturally relevant 1	Culturally relevant 2	Culturally relevant 3	Culturally relevant 4	Culturally relevant 5	Culturally relevant 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
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....)

Question Title

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
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
Initial greeting	Initial greeting 1	Initial greeting 2	Initial greeting 3	Initial greeting 4	Initial greeting 5	Initial greeting 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
Confidential	Confidential 1	Confidential 2	Confidential 3	Confidential 4	Confidential 5	Confidential N/A
Service received	Service received 1	Service received 2	Service received 3	Service received 4	Service received 5	Service received N/A
Privacy	Privacy 1	Privacy 2	Privacy 3	Privacy 4	Privacy 5	Privacy 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?!)

Question Title

1. What is your age?

Question Title

2. What is your gender?

Question Title

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

Question Title

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

Question Title

5. What best describes your current situation?

Question Title

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

Question Title

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)

Question Title

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

Question Title

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?

Question Title

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?

Question Title

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)