A descriptive survey regarding adolescents' knowledge and use of local health related services and service providers was undertaken using a two stage probability sample. Two hundred and fifty three adolescents aged 14 and 15 years, attending eight of the 16 mainstream secondary schools in Stoke-on-Trent, England, were randomly selected. They were interviewed confidentially, using a semistructured questionnaire. They had used various service providers; knowledge of some local health services was poor. The preferred service provider varied with the nature of the problem. Adolescents had clear views regarding the nature of services they would like to see provided. Factors the adolescents associated with confidentiality were identified. Adolescents need information about local services. Issues they associate with lack of confidentiality should be addressed. Their preferences for care must be taken into account in developing future services.