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1. What is your age range?

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2. Your gender

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3. Where do you live?

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4. Do you identify as Aboriginal or Torres Strait Islander?

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5. What language do you usually speak at home?

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6. Do you participate in any of the cancer screening programs below? Please tick all relevant responses.

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7. What are some key barriers that might prevent you or your family from accessing cancer screening services? Please tick all that apply. You can also write in comments if you wish.

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8. What is needed to overcome any barriers you have experienced?

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9. In the past three years, have you or your family accessed mental health services, either locally or nationally? Please tick all that apply.

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10. Were they any difficulties experienced in accessing services?

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11. What sort of the things do you do, or would you like to do, to maintain and/or improve your mental wellbeing?

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12. Is there anything that could enable better access to these activities/supports/connections?

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13. Any other comments regarding the mental health of yourself or the community?

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