Marlborough flood Recovery Support Survey

Kia ora koutou,

This survey is for landowners, residents, and volunteers in Marlborough District who have been affected by the recent flood.

We’re working together to:

Prioritise support for home and property clean-up, drainage, fencing, and debris removal.
Match those who need help with those who can offer it.
Support recovery of native plantings and other flood-impacted restoration areas

Please complete this short form to help us coordinate community support safely and effectively.

You can also fill this in on behalf of someone else — a neighbour, friend, or whānau member — if they’re too overwhelmed or unable to do it themselves.

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1. Are you filling this form out for yourself or someone else?

I’m filling it out for myself

I’m filling it out on behalf of someone else

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2. If you’re filling it out on behalf of someone else, please tell us their name and contact (if known):

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3. Their phone number

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4. Your Full Name (Required.)

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5. Your Email

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6. Your Phone (Required.)

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7. Property location / location of helper

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8. Is the street address difficult to find or unknown? If so, please provide GPS coordinates (e.g. from Google Maps): Format: Latitude, Longitude — for example: -41.123456, 172.987654. You can copy this from Google Maps by right-clicking the location and selecting “What's here?”

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9. Are you......

Needing help

Offering help

Both

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10. What kind of support do you need right now? (Checkboxes – multiple allowed)

Clearing silt/mud from homes or sheds

Fixing or clearing blocked drains, culverts, or access tracks

Fence clearing or repair

Removing rubbish or debris (including netting or baleage plastics)

Septic tank cleaning

Help with native planting recovery (e.g. digging out silt, restaking, replacing guards)

Heavy machinery access (diggers, tractors, etc.)

Emergency grazing for displaced livestock

Food or water delivery

Help with locating or collecting escaped livestock

Support with insurance or cleanup coordination

Emotional or wellbeing support

Other (please describe below)

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11. Briefly describe your situation or needs in more detail

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12. Road access to your property (Multiple choice – one answer)

Fully accessible by car

4WD only

Walking access only

Blocked or washed out

Changes with weather

Not sure

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13. Urgency of support needed (Multiple choice – one answer)

Immediate (next 1–2 days)

This week

Within 2 weeks

Not urgent, but sometime soon

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14. How many people would you ideally want to help at your place?

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15. What kind of support can you offer? (Checkboxes – multiple allowed)

Labour (digging, clearing, fencing, planting)

Tractor / quad / digger and operator

Transport (ute, trailer, gear moving)

Septic tank services

Tools, gloves, squeegees, or cleaning gear

Spare plant guards or restoration materials

Meals or care packs

Admin or coordination support

Technical advice (planting, insurance, fencing, etc.)

Other (please specify)

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16. When are you available to help?

Now / this week

Weekends

Weekdays

On call – contact me when needed

Other (please specify)

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17. May we share your contact details with local coordinators to match people up?

Yes

Marlborough flood Recovery Support Survey

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* 1. Are you filling this form out for yourself or someone else?

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* 2. If you’re filling it out on behalf of someone else, please tell us their name and contact (if known):

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* 3. Their phone number

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* 4. Your Full Name (Required.)

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* 5. Your Email

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* 6. Your Phone (Required.)

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* 7. Property location / location of helper

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* 8. Is the street address difficult to find or unknown? If so, please provide GPS coordinates (e.g. from Google Maps): Format: Latitude, Longitude — for example: -41.123456, 172.987654. You can copy this from Google Maps by right-clicking the location and selecting “What's here?”

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* 9. Are you......

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* 10. What kind of support do you need right now? (Checkboxes – multiple allowed)

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* 11. Briefly describe your situation or needs in more detail

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* 12. Road access to your property (Multiple choice – one answer)

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* 13. Urgency of support needed (Multiple choice – one answer)

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* 14. How many people would you ideally want to help at your place?

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* 15. What kind of support can you offer? (Checkboxes – multiple allowed)

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* 16. When are you available to help?

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* 17. May we share your contact details with local coordinators to match people up?

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* 18. Anything else we should know?

1. Are you filling this form out for yourself or someone else?

2. If you’re filling it out on behalf of someone else, please tell us their name and contact (if known):

3. Their phone number

4. Your Full Name (Required.)

5. Your Email

6. Your Phone (Required.)

7. Property location / location of helper

8. Is the street address difficult to find or unknown? If so, please provide GPS coordinates (e.g. from Google Maps): Format: Latitude, Longitude — for example: -41.123456, 172.987654. You can copy this from Google Maps by right-clicking the location and selecting “What's here?”

9. Are you......

10. What kind of support do you need right now? (Checkboxes – multiple allowed)

11. Briefly describe your situation or needs in more detail

12. Road access to your property (Multiple choice – one answer)

13. Urgency of support needed (Multiple choice – one answer)

14. How many people would you ideally want to help at your place?

15. What kind of support can you offer? (Checkboxes – multiple allowed)

16. When are you available to help?

17. May we share your contact details with local coordinators to match people up?

18. Anything else we should know?