Location: 22 Tozer Street
Postal Address: PO Box 78
WEST KEMPSEY NSW 2440
Customer First: 02 6566 3200
Facsimile: 02 6566 3205
Email: ksc@kempsey.nsw.gov.au
Hours: 8.30 am to 4.30 pm
Monday to Friday
ABN 70 705 618 663
     

Youth Survey

Question 1
How highly do you value the following?

Please rank from 1 to 5 using each number only once - 1 being the most highly valued and 5 being the least valued.

Physical and mental health
Friendships (other than family)
  Other (please state) 

 


Question 2
2. How concerned are you about the following issues?

Please rank from 1 to 5 using each number only once - 1 being the most highly valued and 5 being the least valued.

Personal safety
Physical / sexual abuse 
School or study problems
Coping with stress Self harm
Depression Sexuality (relationships, health, identity)
Discrimination Suicide
Drugs The environment
Family conflict   Other (please state)   

 


Question 3
If you need help with a personal problem, where do you turn for advice and support?

Please rank from 1 to 5 using each number only once - 1 being the most highly valued and 5 being the least valued.

Relative/family friend
Friends School counsellor
Internet Someone else in your community
     (eg doctor, church minister etc)
Magazines Teacher
Parent/s Telephone helpline
   

 


Question 4
Are you involved in any of the following activities/groups?

(Tick all the boxes that apply)

Arts/cultural (eg drama, music, dance) Sports (as a spectator)
Environmental Student Representative Council
Religious Volunteer
Sports (as a participant) Youth Groups & Clubs
  Other (please state)   

 


Question 5
Is there enough information available on issues that concern you?

Yes       No

 


Question 6
If no, what issues would you like more information about?

 


Question 7
Name 3 people or organisations that you admire.
Organisation or person 1:
Organisation or person 2:
Organisation or person 3:

 


Question 8
What is your main source of income?

(Select 1 option only)

Employment    Parents/Family    Government    Other

 


Question 9
Do you have paid work?

(Select 1 option only)

Working full-time
Working part-time
Casual or temporary work
Unemployed/looking for work
Too young to work or choose not to

 


Question 10
Are you studying?

(Select 1 option only)

Studying full-time
Studying part-time
Not studying

 


Question 11
Where do you currently live?

(Select 1 option only)

With family Boarding school
Share house Foster care
Alone Juvenile justice centre/prison
Homeless / Insecure house Other  
  If other, please state

 


Question 12
Please complete the following:
Your age (in years)
Gender (Female/Male)
Language/s other than English spoken at home

 


Question 13
Do you identify as an Aboriginal or Torres Strait Islander?

Yes      No

 


Question 14
Which town or village in the Shire do you live closest to?

Town / Village

 


Question 15
Do you have a disability?

Yes      No

If yes, please state:

 


Question 16
If you could make just one wish on behalf of the young people of the Macleay Valley what would you wish for them?

 


Question 17
Do you think we need to have Youth Forums to find out what young people are thinking?

Yes       No

 


Question 18
Do you think the Kempsey Macleay area is a good area to grow up?

Yes       No

Why?

 


Question 19
Do you believe that Kempsey is a good place for young people to stay in after they leave school?

Yes       No

Why?

 


Question 20
Would you be interested in joining the Kempsey Macleay Youth Advisory Council to help change things for young people in the macleay?

Yes        

Name:

Postal Address:

 

 
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Please contact
lisa.hanrahan@kempsey.nsw.gov.au