Your Expression of Interest

If you would like to be a part of a statewide network of consumers and carers who are interested in being involved on COVID-19 responses, please register your details via the link below.  We are still planning how we will organise this, but we can start collecting the names of those people who are interested. 

We imagine that this group will be a ready source of consumers and carers to call upon should COVID-19-related opportunities arise at short notice.

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* 1. Your contact details

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* 2. Do you identify as Aboriginal or Torres Strait Islander? Check all that apply

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* 3. Were you born in Australia?

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* 4. Do you identify as someone from a culturally and linguistically diverse background?

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* 5. What language(s) do you speak at home?

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* 6. Are you managing a chronic condition?

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* 7. Do have a disability or special need?

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* 8. Do you identify as a carer?

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* 9. Do you identify as LGBTIQA?

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* 10. Are you already involved as a Consumer/ Carer Representative?

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* 11. What communication channels do you use?

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* 12. Do you already follow our Facebook Page? 
https://www.facebook.com/hconcwa/

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* 13. Why would you like to become a member of the COVID-19 Community of Interest?

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