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Questions marked with a * are required Exit Survey
 
 
Have you been to THE HUB before?
 
Yes
 
No
 
 
 
* What is your age?
   
 
 
 
* What do you do?
 
School
 
Work
 
School and work
 
Other
 
 
 
 
* Where did you come from today?
 
From school
 
From work
 
From home
 
Other
 
 
 
 
* Who came with you today?
 
With a friend
 
With a family member
 
Alone
 
Other
 
 
 
 
* What would you like information about?
 
General health
 
Sexual health
 
Drugs & alcohol
 
Mental health
 
Body image
 
Other
 
 
 
 
What service can we provide for you today?
 
General health doctor
 
Sexual health doctor
 
Drug & alcohol worker
 
Weight & diet worker
 
Mental health worker
 
Other
 
 
 
 
What is your gender?
 
Male
 
Female
 
Transgender
 
Bi-gender
 
Intersex
 
Other
 
 
 
 
What is your sexual orientation?
 
Straight
 
Gay
 
Lesbian
 
Bi-sexual
 
A-sexual
 
Other