Youth Health Stockton are gathering feedback about your general health and experiences of local health and social care services to identify if improvements are needed to these services. All feedback is anonymous.

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* 1. What is your gender?

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* 2. What is your age?

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* 3. What is the first half of your postcode? (E.g. TS18)

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* 4. Are you physically active?

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* 5. Do you consider yourself to have a healthy diet?

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* 6. Do you regularly smoke tobacco?

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* 7. Do you regularly use vapes / e-cigarettes?

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* 8. Do you regularly consume alcohol?

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* 9. Do you regularly use drugs / legal highs?

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* 10. Do you have a healthy sleep pattern?

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* 11. Do you consider yourself to have a mental health condition?

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* 12. Have you been medically diagnosed with a mental health condition?

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* 13. Have you self-diagnosed yourself with a mental health condition?

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* 14. Do you consider yourself to have a physical health condition?

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* 15. Have you tried meditation or other holistic therapies?

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* 16. Do feel comfortable taking un-prescribed medication? E.g. paracetamol

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* 17. Do you feel comfortable taking prescribed medication e.g from your GP?

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* 18. Are you concerned about your physical health?

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* 19. Are you concerned about your mental health?

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* 20. Are you concerned about your sexual health?

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* 21. Are you comfortable speaking to an adult about your health concerns?

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* 22. Who would you feel most comfortable to talk to about your health concerns?

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* 23. Do you feel as though you have been made fully aware of the health services available to you?

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* 24. Have you accessed any health services within the last 3 months?

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* 25. Were there any barriers to accessing these health services? 

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* 26. Have you experienced any barriers when accessing health services? e.g. waiting times 

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* 27. Are you treated kindly and fairly by healthcare professionals?

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* 28. Are you happy with our current health services?

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* 29. KOOTH (www.kooth.com) is a a free, online counselling  and emotional wellbeing support service for young people. Have you heard of Kooth?

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* 30. Have you every used KOOTH?

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* 31. If you answered 'yes' to question 30, how helpful did (do) you find the service provided?

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* 32. Do you have any other feedback you would like to share with us about your views and experiences of local health and social care services?

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* 33. Would you like to be involved with our Youth Health groups in the future? If yes, please leave your contact details below.

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