Seeking people with Chinese or South Asian background

We are seeking members the public from the Chinese and South Asian communities to join the Advisory Committee, Working Groups or Focus Groups for our project to adapt public Advance Care Planning Education for these communities.
Click here for further information.

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* 1. Which community are you a member?

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* 2. What is your name?

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* 3. Where do you live?

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* 4. What is your Email Address?

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* 5. What is your phone number?

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* 6. Which role are you interested in? (please select all that apply)

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* 7. Why are you interested in being a public rep on this project?

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* 8. What is your experience of being affected by serious illness, frailty or chronic medical conditions? (as a patient, family member, caregiver or another role)

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* 9. What is your involvement with the Chinese and/or South Asian communities?

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* 10. Which of the following languages can you speak?

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