Public Health Plan Survey
Please fill this quick survey and let us know your thoughts (your answers will be anonymous).
Are you a ...
Are you a ...
Your Gender ... *
Do you identify yourself as being an Aboriginal or Torres Strait Islander person? *
Your current age? *
Please rank the below State Government priorities on empowering healthy lifestyle choices in order of importance, with one (1) being the most important. *
Required
Please rate the following health risk factors on the level of importance, with (1) being the most important *
1
2
3
4
5
6
7
Tobacco Smoking
Not eating enough fruit and vegetables
Illicit drug use
Sugary/soft drink consumption
Mental ill-health
Physical inactivity/low exercise levels
High/harmful alcohol use
Were there any priorities missing from the previous list? Access to internet, mobile phone reception!
If YES (Please specify)
Your answer
Should the Shire do more to support better health? *
Longer Life *
Your answer
What could/should the Shire do to support better health? Better Dr services in the Leeman/ Green Head area and Mental health available. *
Your answer
Do you use any Shire provided facilities to assist healthy lifestyle choices? *
Required
Do you think the Shire of Coorow provides adequate (e.g. sufficient, clean, safe and in good working order) facilities to assist healthy lifestyles? *
What facilities (natural or built) would empower health and help you to develop healthy lifestyle behaviors? Exercise equipment at the park, pontoon at dynamite bay. *
Your answer
Do you belong to any local community/sporting groups? If YES (please specify)
Your answer
Please indicate how strongly you agree or disagree with the following statements: *
Somewhat agree
I am proud of the area where i live
I feel like my life has a sense of purpose
I enjoy interacting with my neighbours
I know where to get help when i need it
Would you support Policies to reduce harm from alcohol and tobacco use? *
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