Online Form - Public Health Plan Community Consultation Questionnaire

Local governments contribute to community health and well-being in many ways including maintaining footpaths and parks, organising recreational programs and events, and ensuring safe food is provided. In 2019, Council committed to One Planet Living which incorporates 10 key principles for living happily and sustainably.  The first of those key principles relates to our “Health and Happiness” - encouraging active, social, meaningful lives to promote good health and wellbeing.

In addition, the Public Health Act 2016 requires all local governments to develop a local Public Health Plan (PHP).  A PHP outlines actions to improve community health and wellbeing and your input is now being sought to create our first PHP; one that is representative and responsive to our community’s health and wellbeing needs.

The Town has access to baseline health data for the district, but also wants to better understand the community’s health and wellbeing concerns and aspirations.  The survey takes about 5-10 minutes and can be completed by residents of the Town until DATE.

If you require more information, please contact the Town of Bassendean’s Health Services team at health@basssendean.wa.gov.au or on 9377 8000.

Question 1

Note: the survey is only open to residents of the Town of Bassendean

Which suburb do you live in?
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Question 2

Which age group do you belong to?
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Question 3

Tell us about yourself. Select all that apply.
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Question 4

I identify as: *




Question 5

What could help you to make healthier food choices? Select all that apply.
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Question 6

What prevents you from eating healthier foods? Select all that apply.
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Question 7

What could encourage you to be more active? Select all that apply.
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Question 8

What prevents you from being more active? Select all that apply.
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Question 9

How important are the following areas to your health, and that of your community?  Using a rating of 1 – 3 with 1 being the ‘most important’ and 3 being ‘not as important.

Walking and cycling paths
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Feeling safe in the community
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Health education programs and events
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Parks, reserves and public open spaces
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Community events
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Environmental health protection (mosquito control, noise, safe food)
*
Smoke free environments
*
Alcohol free environments
*
Climate change
*
Free community education and awareness
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Free programs for community groups
*
Access to nutritional and affordable foods
*
Access to mental health services / information sessions
*
Local road safety awareness
*

Question 10


Question 11


Question 12

Within the Town of Bassendean, what do you see as the key health concerns for you and your community?  Using a rating of 1 – 3 with 1 being the ‘most important’ and 3 being ‘not as important.

Illicit drug use
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Harmful alcohol use
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Not eating enough fruit and vegetables
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Drinking sugary/soft drinks
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Poor mental health
*
Physical inactivity (e.g. low exercise levels)
*
Tobacco smoking
*
Homelessness
*
Serious injuries (e.g. self-harm, road accidents, falls etc.)
*
Unsafe community (e.g. crime, antisocial behaviour etc.)
*

Question 13

Do you engage (or alternatively, are you familiar) with any of the following health and wellbeing organisations ? Select all that apply.
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Question 14

Have you ever accessed Mental Health Services?
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If yes, please specify?
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When you try to access information about a Mental Health services, where do you go?
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Question 15

Are you currently involved in a community group?
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If yes, please specify? *









What could encourage you to get involved in a community group? Select all that apply.
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Question 16


Young People Section

Please only answer this section if you are between 10 and 18 years of age.

Do you attend school outside of the Bassendean area?
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How far do you need to travel to get to school?
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How do you get to school?
*







Disability and Seniors Section

Do you live with a disability?
*
Are you on an NDIS package?
*



Are you on a Home Care package?
*




 
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