This survey is for people who live in the Hauraki region.

Please leave your contact details if you would like to know when it will be available in your region.

More information about the project

Contact me (email or phone)

Email or phone is required.

No thanks

I'm from Hauraki

Thank you for your time

already registered?

email or phone

Email address or phone number is required.

password

Password is required.

Invalid email/phone or password.

not yet registered?

email

Invalid email address.

This email address has been already registered.

phone

Email address or phone number is required.

This phone number has been already registered.

choose password

Password is required.

confirm password

Passwords do not match.

gender

Gender is required.

ethnic group

Ethnic group is required.

please specify:

Ethnic group is required.

age

Age is required.

when you hear
when you hear the word
{{ shared.word.text }}
do you typically think of women, men or both?
use the scale below to make your choice
I'm not sure

Thank you for completing our survey. Your responses are helping to make our community safe and violence free. More information about the research that we are doing can be found here.

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As a koha for your time, we invite you to enter our weekly draw for a Pak n Save food voucher, valued at NZ$100

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;; You are entered in the draw. Thank you for your time ;;
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