This survey is being carried out on behalf of the Public Health Agency, Kilcooley Women's Centre and the Kilcooley Health Improvement Partnership (KHIP). KHIP brings together different government departments, agencies, communities and others to work together to improve the quality of life for those living in Kilcooley.

Your views and opinions are important to us and the purpose of this survey is to identify the key health issues in the community and surrounding area as identified by the residents themselves. The information obtained from this survey will enable all of us to address the key health priorities in the area and target resources effectively.

This survey is anonymous. Your answers will not be connected to you in anyway. Please do not write your name on the survey.

We would be grateful if you could take a few minutes to complete this short survey.

If you have any queries, please contact Kirsty Menagh, Health Development & Wellbeing Manager
Tel. 028 9147 8292 Email kirsty@kilcooleywomenscentre.co.uk

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* 1. What is your postcode ?

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* 2. What is your gender ?

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* 3. What age range do you fall in to?

Personal Health

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* 4. How would you rate your own personal health ?

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* 5. Do you think Kilcooley needs a drop in facility which can offer a range of services including health advice and signposting?

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* 6. Do you think an alcohol awareness programme such as "Dry January" is needed in the estate to help people make better choices around alcohol consumption?

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* 7. Do you need the support of welfare and benefit advice services?  

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* 8. Are you concerned/worried about welfare reform ?

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* 9. Do you understand the changes in welfare e.g. Universal Credit ?

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* 10. Would you use an advice service e.g. welfare clinic/drop in?

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* 11. Do you think mental health is supported in the community?

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* 12. What programmes do you think would assist improve mental health for residents?

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* 13. How long is it since you last had a routine check up with your GP ?

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* 14. How long is it since you visited the dentist ?

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* 15. If a friend or family member needed support for a mental health or substance misuse problem, who would you recommend they contact ?

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* 16. Which of the following best describes your typical physical activity levels.

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* 17. Do you take part in any form of exercise / Physical activity

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* 18. Would you take part in any of the above physical activities if held in the community?

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* 19. Would you use a community health clinic e.g. chiropody,  Please tick any which you would use

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* 20. How often do you eat fruit and vegetables?

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* 21. Do you smoke ?

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* 22. How often would you have an alcoholic drink ?

Health Service Provision/ Resources

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* 23. From the following list, please state what you think are the 3 most common unhealthy behaviours in the community.

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* 24. In your opinion, which health behaviours do people in your own community need more information about?

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* 26. In what format do you prefer health information to be presented?

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* 27. What health programmes/services would you like to see provided that are NOT already available in the community?

Early Years Provision

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* 28. What parenting classes would you like to see in the area?

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* 29. Is there any additional activities you would like your child/children to be involved in?

Older People Provision

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* 30. If you are not attending any clubs/ groups, would you be interested in joining a new group for Over 50's?

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* 31. If you answered Yes to Question 30, what activities would you like to see as part of this group? Some suggestions are:

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* 32. Is the lack of a shop in the community having an adverse effect on the wellbeing of the Kilcooley community?

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* 33. Have you ever used the local foodbank?

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* 34. Do you think the availability of an emergency food supply within the estate would be helpful?

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* 35. Covid 19: Have you tested positive for Covid19?

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* 36. Have you had Covid19/Coronavirus?

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* 37. Have you received both vaccines for Covid19?

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* 38. Have you found it easy to find clear and understandable information about what to do to keep yourself and others safe during the Covid19 pandemic?

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* 39. Do you feel that Covid19 has affected your mental health and wellbeing? (please check all that apply)

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* 40. Do you feel Covid19 has affected your access to healthcare for other conditions?

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* 41. Thank you for completing this survey. If you have any further suggestions or requests for support please comment below.

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