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* 1. Contact Details

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* 2. Where do you currently reside?  eg. Manutuke, Gisborne Rural (Muriwai, Waituhi, Te Karaka etc)  Gisborne Urban (Elgin, Kaiti etc)  East Coast (Tolaga, Tokumaru etc)

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* 3. Would you please provide an indication of your current living situation

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* 4. If you are in a rental property, can you please specify the type of rental property.

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* 5. How many people are currently living with you?

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* 6. Are there any children under 18 in your household?  

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* 7. Are there any kaumatua in your household? 

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* 8. Does anyone in your household suffer from any illness, disability or require special assistance?

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* 9. Are you receiving any financial accommodation support?

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* 10. If you are receiving financial support, please indicate the type of support.

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* 11. Are you registered on the MSD housing register?

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* 12. Have you previously and/or are you currently accessing Emergency housing?

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* 13. What are your primary housing concerns?  eg. overcrowding, rent

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* 14. Are you planning to build in the Tairawhiti region within the next 5 years?

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* 15. Are you planning to purchase an existing home in the Tairawhiti region within the next 5 years?

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* 16. If you are a homeowner in the Tairawhiti region, are you planning to renovate your existing home within the next 5 years for the purpose of improving your current living conditions?

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* 17. Which housing options are you interested in -

This information provided will be CONFIDENTIAL and only used for the purposes of establishing the numbers of Rongowhakaata iwi members/whānau requiring housing, their current housing circumstances, barriers to housing and preferred housing options. NO PERSONAL DETAILS, names, and contact details. will be released publicly. However, these details are necessary to validate the number of survey participants and enable RIT to communicate with survey participants.
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