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* 1. Which age range do you fit into?

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* 2. Postcode?

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* 3. How do you identify? (Select one)

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* 4. What is your cultural background? (Aboriginal or Torres Strait Islanders, Caucasian, CALD Background, Rather not say)

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* 5. What are the key concerns for you and your peers right now? (select as many as are relevant)

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* 6. What would you like to see at Latrobe Youth Space? (Select as many as relevant)

Did you know that we have free Wifi, comfy couches, free food, access to a kitchen, shower, washing machine, dryer, TV, computers, games, gardens, visitors from other support services?

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* 8. If you were given a bucket load of cash to help local young people, what would you do with it?

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* 9. Would you like to receive marketing material from Latrobe Youth Space Inc?

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* 10. What is your email address?

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