Young person's health questionnaire (14+)

Your name *

Date of birth *

Are you a...

If you chose to self-describe, please answer the next question

I describe myself as

Ethnicity

Religion

Do you have any concerns about your health? Do you feel healthy?

Are you happy with the way you are growing?

Have you seen the doctor in the past 12 months?

Please can you tell me why and if any treatment was recommended?

Do you have any worries regarding your sexual health?

Have you been to the hospital or casualty in the past 12 months?

Why did you attend and what treatment did you receive?

Are you physically fit? Do you take part in any sports, clubs or activities?

Please tell us about how you are sleeping

Do you think you eat healthily? Do you enjoy cooking?

Please tell us about what worries you

What makes you angry?

What makes you happy?

Questionnaires for Dorset Council