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* 1. Are you an Aboriginal and/or Torres Strait Islander person living on the Central Coast?

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* 2. What is your gender?

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* 3. How old are you?

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* 4. Where do you live on the Central Coast?

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* 5. What is your postcode? (If you have one)

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* 6. How long have you lived on Darkinjung Country (the Central Coast)?

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* 7. What is the best thing about the Central Coast?

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* 8. As of today, how connected do you feel to your Aboriginal culture and identity?                                                  (Slide to the appropriate number. 1=Not Connected, 10=Very connected)

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

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* 9. As of today, how connected do you feel to the Aboriginal Community on the Central Coast?                                 (Slide to the appropriate number. 1=not connected and 10=very connected)

1 10
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i We adjusted the number you entered based on the slider’s scale.

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* 10. As of today, how connected do you feel to your family/mob?                                                                                    (Slide to the appropriate number. 1=not connected and 10=very connected)

1 10
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i We adjusted the number you entered based on the slider’s scale.

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* 11. Is there anything else you would like to tell us about your connection to culture?

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* 12. Do you consent for Barang to contact you about issues on the Central Coast?

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