Gunnedah Family Support are able to offer support to access social activities for community members affected by flooding in 2021 and 2022.

Whether you were impacted a little or a lot, you are eligible 😊 

Please fill out this survey to register and let us know what activities will help you in your journey to recovery after the floods.

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* 1. Your name: 

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* 2. What is your contact phone number?

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* 3. What is your email address?

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* 4. How do you prefer to be contacted?

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* 5. Please select the weekdays you are available to come along to the group: 

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* 6. What time works best for you?

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* 7. How often would you like to meet?

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* 8. What activities would you like to participate in as part of this group? 

Please select all that apply.

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* 9. Is there any information about services & support that we could provide as part of this group?

Please select all that apply.

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* 10. Do you need any help or equipment to be able to participate in this group?

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* 11. If yes, please let us know how we can support you.

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* 12. Any other questions or things we need to know?

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* 13. If you would like to talk about anything in this survey, please include your name and phone number below.

We will give you a call as soon as we can.

Thank you for taking the time to fill out this survey!

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