Flood Recovery Support Group Registration & Preferences

Gunnedah Family Support are able to offer support to access social activities for community members affected by flooding in 2021 and 2022.

Whether you were impacted a little or a lot, you are eligible 😊 

Please fill out this survey to register and let us know what activities will help you in your journey to recovery after the floods.
1.Your name: 
2.What is your contact phone number?
3.What is your email address?
4.How do you prefer to be contacted?
5.Please select the weekdays you are available to come along to the group: 
6.What time works best for you?
7.How often would you like to meet?
8.What activities would you like to participate in as part of this group? 

Please select all that apply.
9.Is there any information about services & support that we could provide as part of this group?

Please select all that apply.
10.Do you need any help or equipment to be able to participate in this group?
11.If yes, please let us know how we can support you.
12.Any other questions or things we need to know?
13.If you would like to talk about anything in this survey, please include your name and phone number below.

We will give you a call as soon as we can.
Thank you for taking the time to fill out this survey!