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1. What are your main health and wellbeing concerns ? (Required.)

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2. How satisfied are you with the accessibility of healthcare resources in your community? (Required.)

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3. Are there specific healthcare services you feel are lacking in your area? If so, please specify.

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4. How often do you seek out information related to nutrition and healthy eating habits? (Required.)

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5. What barriers do you face when trying to maintain a healthy lifestyle? (Required.)

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6. How likely are you to participate in community wellness initiatives, such as fitness classes or health workshops? (Required.)

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7. What health resources do you feel are lacking in your community?

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8. What kinds of subjects interest you, and what would you like to further explore concerning health and wellbeing ?

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9. How important is preventive care to you in maintaining your overall health and wellbeing? (Required.)

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10. How often do you engage in physical activity or exercise each week? (Required.)

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11. What types of fitness activities or programs would you like to see offered in your community?

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12. Are there any specific challenges you face when trying to prioritise your mental health?

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13. Are there any additional comments or suggestions you would like to share regarding your healthcare needs and preferences?

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14. Have you got any other feedback or suggestions ?

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15. Name (only if you want to - leave blank if you wish to be anonymous)

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16. Email Address

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