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We apologise that Eastham Walk-in Centre is closed.

It will remain closed until Monday 12 December when normal service will be resumed.

Find out more.

Home - Our services - School Nursing (Wirral) - Year 7 Student Health Assessment questionnaire (Wirral)

Year 7 Student Health Assessment questionnaire (Wirral)

Name of School*
Form
Your Name
Address
How do you feel about your life in school?*
Choose from 0 - 10
- 0 - Very negative
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10 - very positive
How do you feel about your life outside school (your community, clubs, travelling to and from school)?*
Choose from 0 - 10
- 0 - Very negative
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10 - very positive
How do you feel about your life at home?*
Choose from 0 - 10
- 0 - Very negative
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10 - very positive
Do you have any worries about your health?
- Yes
- No
If you have any worries about your health, please write about it here
Do you have any worries about your height or weight?
If Yes, see the school nurse at the school nurse drop-in clinic.
- Yes
- No
Can you see the writing on the board from the back of the classroom?
If you struggle to see the writing on the board please ask someone at home to take you to the opticians (it’s free).
- Yes
- No
If you have any health or wellbeing concerns would you talk in confidence to your school nurse?
- Yes
- No
Do you have a trusted adult to talk to if you are worried about your health and wellbeing?
- Yes
- No
Comments
This field is for validation purposes and should be left unchanged.

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Page last reviewed: 17/06/2022

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Trust Headquarters

St Catherine's Health Centre, Derby Road, Birkenhead, Wirral CH42 0LQ

Telephone

0151 514 2888

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