Focus Group Expression of Interest Form

Home
Our Impact

We value your insights and lived experience and want to hear from you.
Please complete this form to register your details:

First name and surname *

Email Address

Contact Number *

Are you a carer? A carer is someone who provides unpaid emotional or day-to-day support to a family member or friend, who has a disability, mental illness, addiction issue, chronic health issue or age-related condition. Please note: participation is open to current carers only.

Yes
No

Group Preference

Session Preference Please select up to two sessions to indicate your preference: *

Session 1: Full
Session 2: Full
Session 3: 10am–11am on 11 January: in person at Melbourne CBD location
Session 4: 2pm–3pm on 12 January: in person at Melbourne CBD location

If more than one preference, please specify your first preference.

Focus Group Expression of Interest Form

Focus Group Expression of Interest Form

We value your insights and lived experience and want to hear from you. Please complete this form to register your details:

We value your insights and lived experience and want to hear from you.
Please complete this form to register your details: