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* 1. Do you current live in the Sunshine Coast region?

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* 2. First Name

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* 3. Last Name

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* 4. Date of Birth (MM/YYYY)

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* 5. We will be confirming your attendance via both email and phone. Please provide your email address

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* 6. Please provide your phone number

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* 7. How do you identify your gender?

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* 8. Which one or more of the following best represents your ethnic background?

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* 9. Which of the following best describes your marital status?

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* 10. What is your highest level of education?

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* 11. Do you care for the health of others? Please select any of the following that apply:

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* 12. Are you actively engaged in the care of your overall health? Rate yourself on a scale from 1-10

0 10
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i We adjusted the number you entered based on the slider’s scale.

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* 13. How would you rate your confidence with technology and computers? Rate yourself on a scale from 1-10.

0 10
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 14. Please nominate the session time/s that best suit your availability on Saturday 21st October 2023.

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