1-1 Kōrero Booking Form (In Person)

Kia ora, thank you for reaching out to Changing Minds for an individual kōrero/conversation about your Lived Experience expertise. We are so grateful you want to use this to contribute to systemic advocacy, policy and positive health system transformation.

Our Changing Minds whānau are usually based in Mt Eden, Auckland. However if you are outside of Auckland and would like to connect in person please let us know and we will see if we will be in a region near you soon. Otherwise we'd love to connect online.

If you let us know how best to contact you, and a preferred time that works for you, our Engagement and Insights Manager Megan will reach out to confirm a time to chat with one of Changing Minds whānau.

If you have any questions or concerns you can reach Megan directly at megan@changingminds.org.nz

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* 1. Name

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* 2. Your pronouns

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* 3. Email

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* 4. Phone number

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* 5. Any questions or concerns (including privacy or accessibility you'd like us to know)

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* 6. Do you require an NZSL Interpreter?

Yes

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* 7. When is the most convenient time for you?

	Morning (8:30am - 12:00pm)	Afternoon (12:00pm - 4:30pm)
Tuesday	Tuesday Morning (8:30am - 12:00pm)	Tuesday Afternoon (12:00pm - 4:30pm)
Wednesday	Wednesday Morning (8:30am - 12:00pm)	Wednesday Afternoon (12:00pm - 4:30pm)
Thursday	Thursday Morning (8:30am - 12:00pm)	Thursday Afternoon (12:00pm - 4:30pm)
Friday	Friday Morning (8:30am - 12:00pm)	Friday Afternoon (12:00pm - 4:30pm)