Email
Suburb
Age
Gender
What is your preferred language spoken at home?
Maximum 255 characters
0/255
Do you identify as Aboriginal and /or Torres Strait Islander?
How do you describe your general health / health status?
What is the reason for allocation of your general health/health status?
Thinking about your own health/wellbeing needs, what are your top 5 health needs? (you have a choice to provide one, two, three, four or five needs)
What is your first health/wellbeing need?
What is your second health/wellbeing need?
What is your third health/wellbeing need?
What is your fourth health/wellbeing need?
What is your fifth health/wellbeing need?
Thinking about your local neighbourhood/ community, family and friends what are the top 5 health/wellbeing needs that you have observed? (you have a choice to provide one, two, three, four or five needs)
What is your first observed health/wellbeing need?
What is your second observed health/wellbeing need?
What is your third observed health/wellbeing need?
What is your fourth observed health/wellbeing need?
What is your fifth observed health/wellbeing need?
Thinking of your own health/wellbeing needs and about your local neighbourhood/ community, family/ friends are there health services you need that are not available? If so, please explain?
Thinking about your own health/wellbeing needs and about your local neighbourhood/ community, family and friends, what prevents you, from accessing care?
