Kikopiri Marae - Ngāti Kikopiri ki Muhunoa

One of the important changes in Aotearoa's health system is learning how people in communities experience health and wellbeing in their local areas. This knowledge will help design and shape better wellbeing services in Horohwenua

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* 1. Your Name (Optional)

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* 3. Gender:

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* 4. Which ethnic group(s) do you identify with?

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* 7. What other services would you like to see in Horowhenua?

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* 8. What barriers do you see with accessing these services?

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* 9. Please rank your experiences with the following services out of 5

Health Services GP, Nurses, Radiology, Dentists, etc
(0 - No experience, 1 - Poor Experience, 2 - Slightly Good Experience 3 - Good Experience, 4 - Very Good Experience and 5 - Great Experience)

0 3 5
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i We adjusted the number you entered based on the slider’s scale.

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* 10. Please explain your rating and/or your experience

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* 11. Housing including lack of and access to a decent standard of housing, heating, insulation
(0 - No experience, 1 - Poor Experience, 2 - Slightly Good Experience 3 - Good Experience, 4 - Very Good Experience and 5 - Great Experience)

0 3 5
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i We adjusted the number you entered based on the slider’s scale.

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* 12. Please explain your rating and/or your experience

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* 13. Diet/Nutrition and Physical Wellness no food, hungry, healthy food
(0 - No experience, 1 - Poor Experience, 2 - Slightly Good Experience 3 - Good Experience, 4 - Very Good Experience and 5 - Great Experience)

0 3 5
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i We adjusted the number you entered based on the slider’s scale.

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* 14. Please explain your rating and/or your experience

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* 15. Addiction alcohol, drugs, gambling
(0 - No experience, 1 - Poor Experience, 2 - Slightly Good Experience 3 - Good Experience, 4 - Very Good Experience and 5 - Great Experience)

0 3 5
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i We adjusted the number you entered based on the slider’s scale.

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* 16. Please explain your rating and/or your experience

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* 17. Transport to essential services (shopping, doctors, hospitals, schooling)
(0 - No experience, 1 - Poor Experience, 2 - Slightly Good Experience 3 - Good Experience, 4 - Very Good Experience and 5 - Great Experience)

0 3 5
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i We adjusted the number you entered based on the slider’s scale.

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* 18. Please explain your rating and/or experience

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* 19. Kaumātua Care including home care, social outings, health support etc
(0 - No experience, 1 - Poor Experience, 2 - Slightly Good Experience 3 - Good Experience, 4 - Very Good Experience and 5 - Great Experience)

0 3 5
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i We adjusted the number you entered based on the slider’s scale.

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* 20. Please explain your rating and/or experience

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* 21. Family Violence physical, emotional, mental, psychological abuse in whānau, tamariki, parents, elderly
(0 - No experience, 1 - Poor Experience, 2 - Slightly Good Experience 3 - Good Experience, 4 - Very Good Experience and 5 - Great Experience)

0 3 5
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 22. Please explain your rating and/or experience

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* 23. Suicide support
(0 - No experience, 1 - Poor Experience, 2 - Slightly Good Experience 3 - Good Experience, 4 - Very Good Experience and 5 - Great Experience)

0 3 5
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i We adjusted the number you entered based on the slider’s scale.

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* 24. Please explain your rating and/or experience

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* 25. Mental Health depressions, disorders, lack of support
(0 - No experience, 1 - Poor Experience, 2 - Slightly Good Experience 3 - Good Experience, 4 - Very Good Experience and 5 - Great Experience)

0 3 5
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i We adjusted the number you entered based on the slider’s scale.

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* 26. Please explain your rating and/or your experience

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* 27. Unemployment or lack of paid employment or business opportunities
(0 - No experience, 1 - Poor Experience, 2 - Slightly Good Experience 3 - Good Experience, 4 - Very Good Experience and 5 - Great Experience)

0 3 5
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 28. Please explain your rating and/or experience

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* 29. Education / Training lack of as well as access to, might include uniform, fees, etc
(0 - No experience, 1 - Poor Experience, 2 - Slightly Good Experience 3 - Good Experience, 4 - Very Good Experience and 5 - Great Experience)

0 3 5
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i We adjusted the number you entered based on the slider’s scale.

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* 30. Please explain your rating and/or experience

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* 31. Lack of organized activities for Rangatahi
(0 - No experience, 1 - Poor Experience, 2 - Slightly Good Experience 3 - Good Experience, 4 - Very Good Experience and 5 - Great Experience)

0 3 5
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i We adjusted the number you entered based on the slider’s scale.

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* 32. Please explain your rating and/or experience

Thank you for participating in our survey!

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