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?

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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

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* 6. Your Phone

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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?

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