Real Life Refuge Chamber Experience
This form is developed to provide those who have used a MineARC Refuge Chamber the opportunity to share their stories and experiences. There are seven short sections on the form which should take approximately 15 minutes to complete; please add as much detail as are you are comfortable.

We appreciate the time you have taken to complete the form. For further information, please contact

Personal and company details will not be used without permission, and you can select to remain anonymous in the last section of the form.

Email address *
Name *
Your answer
Company: *
Your answer
Job Title *
Your answer
Primary Industry *
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