Community Support and Wellbeing Assistance Survey 
Nanna's Touch Community Connections Lithgow Inc. is a Lithgow local community-based charity, providing assistance to all local community members.

To better understand the needs of our community, our survey is set up to gain important information and feedback on what you would like to see available, or to assist you in any way to make your life a little more comfortable and supported.
Your responses will help us improve our programs and reach those who need it most.

**Please Note** All survey 'personal details' will be held with Nanna's Touch to help us better support our community, and will NOT be shared with any other service/organisation, or other bodies**
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Email *
Name,  Address/Lithgow LGA area, Contact Number (mobile preferably) *
What is your living situation? *
What is your family demographic? *
please tick boxes for all members of family residing together in your household
Required
Extra Family details *
From question 4 above, please note how many in your household, noting ages of all children living with you, please provide Names and Date of Birth for children under 13 yrs to be included in our Xmas Gift Appeal
Food Access and Insecurity  *
- have you experienced any of the following?
Required
Do you identify with any of the following?   *
What are some of the challenges you or a family member have had or are facing.
Required
Supports and Services required in the Lithgow LGA *
What are some of the following that you feel is needed more of, to be accessible in our local area?
Required
Barriers to accessing assistance! *
What do you feel are the main barriers experienced around accessing services? 
Required
Do you have a disability and are you accessing or wanting to access the NDIS? Yes or No! *
If yes, please describe what service you require or are accessing, and the name of those services.
 Do you have services available in Lithgow? If not, where do you go for support?
Do you require Age Care Supports? Yes or No!
If yes, are you registered with My Age Care?
 *
If yes, please describe what services you require or are accessing, and the name of those services.
 Do you have those services available in Lithgow? If not, where do you go for support?
Nanna's Touch Community Connections provide the following services/ programs
held at 5 Albert St, Tuesday to Friday
 *
please choose as many options of activities you may be interested in attending 
**please note** most programs have fees apply - contact Sue 0409 765 601 for further details or search Facebook
Required
Additional Feedback! *
Please provide any questions, ideas, or feedback to what/how you would like to see us assist your community
Thank you for providing your feedback, 
Your assistance helps us to help our local community 
A copy of your responses will be emailed to the address you provided.
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