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* 1. What is your name? (surname is optional)

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

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* 3. What is your gender?

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* 4. What is Your age?

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

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

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* 7. How long have you lived on the Central Coast?

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* 8. Why did you move to the Central Coast? For example - family reasons, housing affordability, work, other?

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

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

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

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* 12. As of today, how connected do you feel to your Aboriginal culture and identity? (Slide to the appropriate number. 1=not connected and 10=very connected)

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

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* 13. What are some things that would make the Aboriginal Community on the Central Coast stronger?

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* 14. What do you understand to be the biggest issues impacting the wellbeing of Aboriginal people living on the Central Coast? (Rank the following issues in order of importance, 1=Most important to 8-Least important)

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* 15. Do you support the Uluru Statement from the Heart?

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* 16. Do you know what economic prosperity means?

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

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* 18. Is there anything else you would like to tell us?

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