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Children and Young People 'Have your say on Mental Health Services and Support'

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* 1. Have you ever had help with your mental health?

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* 2. If yes, where did you go to get help?

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* 3. If no, where would you go if you needed support?

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* 4. What do you think is the best way to let children and young people know where they can get help?

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* 5. If you have used or wanted to use mental health services, which five things do you think are the most important? (please select 5)

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* 6. Have you used Mental Health support or services?

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* 7. Please tell us how using Mental Health services was for you

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* 8. What did you ask for help with?

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* 9. What benefit was the support to you?

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* 10. How long after your referral or your first contact did it take before you had an appointment?

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* 11. Do you think there was other support which would have helped you more? e.g. talking to people going through the same things as you are?

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* 12. Would you like to know more about Youthwatch? (this is how Healthwatch support children and young people to have their say on how services are being planned and delivered).

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* 13. Would you like to have your say on what the NHS and Council are planning for children and young people’s mental health services in Heywood, Middleton, Pennines and Rochdale?

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* 14. We send out information to children and young people on health and social care information and the work we are doing.

Would you like to be added to our mailing list?

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* 15. Will you search Healthwatch Rochdale on social media and follow us to find out more about health and social care services?

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* 16. Would you like the chance to win a £50 gift voucher in our free draw? This is for anyone who has completed one of our mental health surveys.

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* 17. If you put yes to getting involved in a group, going on to our mailing list or being entered into the free draw please leave your telephone number and email address below:

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* 18. Please tell us whether you are a:

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* 19. What is your age?

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* 20. Where do you live?

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* 21. Which of the following best describes how you think of yourself?

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* 22. Please tell us which gender you identify with?

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* 23. Is your gender different to the gender you were assigned at birth?

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* 24. Please select your ethnic background:

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* 25. Please tell us which sexual orientation you identify with

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* 26. Please tell us about your religion or beliefs 

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* 27. Which of the following best describes your current relationship status?

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* 28. Are you currently pregnant or have you been in the last year?

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* 29. Do you have a disability?

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* 30. Do you have a long-term health condition? (Please select all that apply):

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* 31. Do you consider yourself to be a carer?

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* 32. Are you a serving / ex serving member of the armed forces?

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* 33. Healthwatch Rochdale will use the information you provide to be in touch with you and to provide updates and marketing.

You can change your mind at any time by clicking the unsubscribe link in the footer of any email you receive from us, or by contacting us at info@healthwatchrochdale.org.uk or telephoning 01706 249575. We will treat your information with respect. For more information about our privacy practices please visit our website www.healthwatchrochdale.org.uk By providing your personal details, you agree that we may process your information in accordance with these terms.

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