Has your work in the WA Screen Industry been impacted by COVID-19? Fill in the below survey to assist Screenwest in measuring the impact for the sector.

Please note: information you provide within this survey will be used to measure and communicate the impact and projected impact of COVID-19 on the WA Screen Industry. No information provided within the survey will be considered as part of/in-relation to any current or future funding applications made to Screenwest.
YOUR DETAILS

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* 1. Email address:

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* 2. Your Name/Company Name:

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* 3. Are you a:

LOSS OF WORK/CANCELLATIONS

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* 4. If you have lost projects or jobs, please list the names of each here.

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* 5. Type of work lost (if multiple roles, include in the 'Other' field)

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* 6. Please list the specific role/s you were going to undertake.

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* 7. Reason for loss of work

LOSS OF INCOME
Please provide accurate data (or as close to accurate as you can) in order for us to measure the impact on the WA Screen Industry.

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* 8. What was your income in 2018?

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* 9. What was your income in 2019?

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* 10. Please detail your estimated current and confirmed loss of income (not projected).

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* 11. Please detail you estimated projected loss of income until September 30, 2020

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* 12. List the categories of income you have included in your projected estimate (i.e. Salaries/Wages, Offsets, Box Office Income, Product Sales etc.)

PEOPLE IMPACTED

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* 13. Please estimate the number of people who will have lost work due to the cancellation of your project(s)

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* 14. If you would like to share any other comments or experiences, please feel free to do so.

AGREEMENT
The purpose of this survey is to quantify what has been lost as a result of this year's impacts on the Western Australian Screen Industry. Screenwest would like to share your stories and data with policy-makers to make a case for members of the industry.

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* 15. Do you agree to Screenwest using your information as described above?

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