Beaconsfield Youth Survey
Part A - About You
1. What is your gender?
Male
Female
2. What is your age?
Please Select One
Under 15
15 - 17
18 - 21
22 - 25
3. Do you identify as?
Aboriginal
Torres Straight Islander
Both Aboriginal/TSI
Neither
4. Were township do you live in or nearest to?
5. Are you intending to stay in the Beaconsfield catchment area for the next 1-5 years?
(The Beaconsfield catchment comprises the 7270, 7275 and 7276 postcode areas.)
?
Yes
No
Unsure
2a. Do you have a significant disability which impacts on your health and wellbeing?
Yes
No
If yes, please specify?
