Avenue Services are requesting feedback from young people in Blacon to help us understand what youth services have been accessed and what prevents young people accessing what we offer through our youth services. This is your opportunity to tell us what you would like to see in the future, and to share your views and wishes with us. We'd be grateful if you could spare some time to complete the questionnaire below.

Any personal information which you provide within this form will be stored securely and confidentially. Your personal information will not be supplied to any party outside of Avenue Services. By completing and submitting this form, you are agreeing to our Privacy statement.

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* 1. Age

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* 2. Gender:  (Male/Female/Prefer to self-describe as/Prefer not to say)

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* 3. Do you access youth services? If you don't why is this?

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* 4. What services have you accessed and when? How often have you accessed youth services?

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* 5. What has gone well for when you have attended? What hasn't gone well?

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* 6. Are there any services within the youth offer that you would like to see, or can you make any suggestions of what would be wanted or that you feel is missing for the young people in Blacon?

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* 7. Do you have access to IT such as a smart phone, tablet or laptop? Would you consider accessing online youth services and if yes, what would you want to see as an offer?

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* 8. Would you like to see other professionals offering services from the youth centre – health, educational, fitness, etc.?

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* 9. What time would you like to be able to access youth services?

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* 10. Are there any additional comments that you wish to add? Please state your name here if you wish to.

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