Equay-wuk Youth Wellness Survey - win a free iPad!
Survey closes at 12PM CST May 22 2018. Hard copies are also available in the Sioux Lookout area. The iPad winner will be contacted after the survey closes.

Responses will be kept in confidence. Contact information will be stored separately from survey responses. Contact information will only be used for the raffle unless the participant also consents to being contacted by Equay-wuk for future opportunities.

Survey responses will be used to shape future youth programming developed by Equay-wuk. This program is funded by the Ontario Trillium Foundation's Seed grant.

What is your age? *
Are you a member of a First Nation in northwestern Ontario? *
Is there a need for more youth programming and workshops provided by Equay-wuk in your community? *
Is there a history of suicidal behaviour among the youth in your community? *
What are key priorities for youth in your community? Pick as many as needed. *
Required
Is there a need for supports for Two-Spirit, LGBTQ2, and/or trans-identified youth in your community? *
Do the youth in your community have a way of participating in community decisions? *
Is there interest in creating a youth council to encourage youth engagement? *
Is there a generation gap in your community? *
Is there a need for more land-based programming for the youth? *
Is there a need for more mental health resources for youth in your community? *
Has your community identified any factors leading to an increase in youth suicide attempts? Please describe, or type N/A if you don't wish to answer. *
Your answer
Do you have any further questions or comments? Please fill in.
Your answer
Please continue to the second section if you would like to be entered in the draw for a free iPad.
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