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Care Matters Workshop Registration Form
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How did you find out about us?
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In what capacity are you attending?
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What is your age group?
20-29
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What is your ethnicity?
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Do you require any additional support to attend our workshop e.g. do you have a visual impairment?
What is the main type of disability the person you live with/care for has?
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What is the age of the person being cared for?
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Do you or your family member qualify for disability support services through the Needs Assessment Agency?
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Would you like Care Matters to inform you about other workshops in your area?
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Would you like to share your contact details with the Waikato Enabling Good Lives Family Core Group? (Local community connecting)
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What is the purpose of this form?
To provide non-identifiable statistical information to the Ministry of Health to create a clearer picture of who is accessing Care Matters face-to-face training. The Ministry of Health acknowledges that under the Health Information Privacy Code (1994) all information will be received in the strictest confidence.
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