Tirohia 2023, English

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Name

Which ethnic group(s) do you belong to?

What is your age?

What are your iwi/hapū affiliations?

How would you describe your overall quality of life in Ōtaki?

Which health services have you engaged with in the last 6 months (select all that apply)

How long have you lived in Ōtaki?

Describe your current living arrangements. (Currently live: alone/with whānau/boarding/flat with friends/kaumātua flat/in a rest home)

What does wellbeing mean to you and your whānau?

When thinking about wellbeing/hauora, what are some of the things you do to keep well?

When thinking about wellbeing/hauora, what are some of the things that worry you?

When thinking about healthcare, what type of healthcare services do your whānau need access to?

Please name your top 3 healthcare services you would like to see in Ōtaki

What recreational facilities or opportunities do you feel are lacking in Ōtaki?

Are there any groups, social support systems or community groups that you find beneficial in Ōtaki? If yes, please specify.

Which scenario best describes your access to a GP/NP/Doctor?

If you would like to go in the draw to win a prize please leave your email or phone number below.

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