Questionnaire Year 6

The MindKind Projects, a Walsall based Wellbeing Organisation has been selected by Public Health Walsall to support with the Young People's Consultation on wellbeing.

This survey aims to understand the things that affect the emotional well-being of young people and the things you feel might help young people stay emotionally well and healthy.

For this Survey, we have provided a broad definition of emotional wellbeing to help you complete the survey.

  • Emotional well-being is how we feel about our lives and the things we have; it can mean feeling content and calm most of the time.
  • Feeling you have people in your life that care about you.
  • Being able to relax but also cope when things do not go as you want

 Please keep this definition in mind as you complete these questions.

Consent form

We are asking that your child take part in a consultation on behalf of Public Health Walsall.

If you choose to allow your child take part in the consultation your child will complete a survey.  The survey will contain questions about your child’s emotional well-being. We are asking young people in Walsall from Year 6 up to Year 11 to provide their views on the things that affect emotional well-being and the things they feel will support them.

The survey will take about 15 minutes to complete.

Your child can skip questions that he or she does not want to answer or stop the survey at any time. The survey will be anonymised and no one will be able to link your child’s answers back to them.

The survey will be conducted on an anonymous, secure online format that is approved for protecting the respondent's private information.

This consultation is voluntary. You can withdraw your consent at any time. To do this email info@themindkindprojects.com.

We are capturing identifiable information for those who might want to take part in a more detailed interview and enter your child into a free Alton Towers tickets draw. There are 6 tickets to be won by one child as a thank you for taking part. All identifying information will be deleted once the draw is completed. Please only complete the name and contact details if you wish to be entered in the draw.

Typing your name and the date below represents your signature affirming that you agree that the above information has been explained to you and all your current questions have been answered.  You understand that you may ask questions about any aspect of this consultation during the course of this consultation.  By signing this form, you agree that your child may participate in this consultation.

Young persons consent

By typing his or her name and the date below represents your child's signature confirming that this consultation has been explained to him or her and that he or she agrees to participate.

Please contact Nik Morris at The MindKind Projects on info@themindkindprojects.com for questions about your participation, or to discuss concerns or suggestions related to the consultation, or to obtain information or offer input about the consultation. 

Thank you for your participation.