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Participant information

This survey was created to assist Mingaletta to engage the local Aboriginal and Torres Strait Islander community, on the Peninsula. For COVID-19 recovery assistance, we would appreciate if you could leave your contact details and await a response from one of our project officers.

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* 1. Full Name

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* 2. Home address

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* 3. Email address (if applicable) 

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* 4. Phone No.

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* 5. What age bracket are you in?

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* 6. Do you have a dependent under the age of 18 in your home?

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* 7. Are you currently a member of Mingaletta?

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* 8. Do you access services at Mingaletta?

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* 9. Are you aware of Yerin Aboriginal Health Services' outreach clinic located in Woy Woy?

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* 10. Has COVID-19 had a negative impact on your finances?

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* 11. What impact did COVID-19 have on your ability to connect and socialise with others?

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* 12. What impact has COVID-19 had on your health and wellbeing?

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* 13. Do you have access to one or more of the following platforms?

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* 14. Is there any additional information you would like to provide for the future of Mingaletta?

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