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* 1. How old are you?

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* 2. What is your Gender?

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* 3. Click the checkbox if you are interested in any of the following topics

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* 4. Click the checkbox if you are interested in any of the following topics

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* 5. Do you like being in a group setting with other people your age?

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* 6.  I prefer to do things with others rather than on my own.

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* 7. Are you interested in learning about relationships? e.g. boyfriends and girlfriends. 

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* 8. Are you interested in learning more skills about communicating with other people? e.g. friends, family and public people

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* 9. We are looking at running a group program at Bounce Back Health that focusses on life skills. Does this interest you?

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* 10. If you could join in a group at Bounce Back Health, What would you like to learn about?

0 of 10 answered
 

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