Limited evidence exists concerning the health of young adults, most likely attributable to the fact that young adults perceive themselves to be insusceptible to infirmity. This lack of information extends into higher education sectors, places that have venues for dispensing health information/education to many young adults. What is important to note is that some research indicates that health problems may influence student attrition, particularly first year students; however, information concerning their health problems is inadequate. As such, the overall goal of this exploratory research was to complete a thorough needs assessment of the issues affecting student health from the perspective of the student and faculty and staff that routinely assist students concerning health issues. Specifically, the purpose was to examine health issues and issues that have the potential to affect the health and academics of 1st year students. Additionally the practices, experiences and perceptions concerning university services and service referrals received by first year students, and suggested by staff/faculty that deal with these students was also examined. Students (n=412) reported a wide range of issues that have the potential to affect health, quality of life and academics, namely concerns about studying/exam writing, relationships, time management, finances, self-esteem, obesity, and grief, to name a few. Staff and faculty (n=23) reported dealing with students with a wider range of issues, such as anxiety, anger, depression, mood disorders and sleep disorders. Although students appeared quite knowledgeable about the health services offered on campus, awareness did not translate into use. University personnel should become more actively involved in promoting on-campus services to first year students and advocating the potential implications that well-being may have in successfully completing university. (Contains 4 tables.)