Southern Grampians Youth Survey Question Title * 1. Personal details (required) Name * Address Town * Email Address * Phone Number Question Title * 2. Date of birth DOB Date Question Title * 3. Do you identify as Aboriginal and/or Torres Strait Islander? Yes No Would rather not say Question Title * 4. Do you identify as a person with disability? Yes No Would rather not say Question Title * 5. Your Gender and/or Pronouns? Question Title * 6. Do you identify as being part of the LGBTIQA+ community? Yes No Would rather not say Question Title * 7. What is your connection to Southern Grampians Shire? I live here I work here I study here I play here (sports, activities, culture, events) Question Title * 8. Are you currently studying? (Tick all that apply) High School Primary School TAFE Trade Training Apprenticeship University I am not currently studying Other (please specify) Question Title * 9. What is your employment status? (Tick all that apply) Casual Work Part time Work Full time Work I am actively seeking casual employment I am actively seeking full time employment I am not looking for employment I am working in a family business I am unemployed I am too young to work Question Title * 10. What activities do you participate in? (Tick all that apply) Sports Volunteer Work Youth Groups or Clubs Arts and Cultural Activities Music Gaming Religious Groups or Activities Political Groups or Activism Environmental Groups or Activities Dance/Drama Photography Reading Physical Activity e.g. Walking, Gym. Cycling Other (please specify) Question Title * 11. What type of events and activities would you like to see in your local area? (Tick all that apply) Live Music Events Festivals Markets Movie Nights Youth Raves & Discos Skate and Scooter Competition Gaming Youth Social Events Creative and Performing Arts Workshops and Events Environmental and Sustainability Events Cultural Activies Other (please specify) Question Title * 12. Would you like to be involved in Southern Grampians Shire's Youth programs either as an organiser or on a committee? Yes No Question Title * 13. If you answered yes to the above, what type of events, activities or committees would you be interested in helping out with? Question Title * 14. What are some of your skills/strengths? Question Title * 15. What new skills would you like develop? Question Title * 16. What issues are you passionate about or are of a concern to you? Access to affordable tertiary education Access to supports/services COVID 19 Recovery Drugs and Alcohol misuse Body Image Boredom/nothing to do Caring for family members Chronic illness and disease Cost of activities and recreation Cost of services Disability Discrimination Eating disorders Family Conflict/violence Homelessness Homophobia Lack of Transport Mental Health problems Bullying Abuse Health Racism School attendance Self Harm Sexual Abuse Sexual Health Social Isolation Smoking Suicide Friendship problems Fitting in Gambling Gender Equity Global Warming/Environment Other (please specify) Question Title * 17. Where do you get your information from? (Tick all that apply) Facebook Instagram Community Notice Board TikTok School Newsletter Word of Mouth Email News Paper Snapchat Stories Other (please specify) Question Title * 18. What is the best way for Southern Grampians Shire Council to listen and connect with Youth? Question Title * 19. If you could do one thing to improve things for young people in Southern Grampians Shire, what would you do? Question Title * 20. Is there anything else you think is relevant you’d like to tell us? Done
