Participant Interest Form

Participants must be over 18. All information we collect will be confidential, you will not be identified in this research and can withdraw at anytime.

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Email *
Name *
Contact Number
Email Address *
Date of Birth
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DD
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Gender *
Ethnicity *
Have you or a whānau member been tasered by police?  *
Are you a wāhine/woman who has had police attend a family harm incident at their home? *
Have you experienced mental illness/distress and have had the police respond? *
Are you a member of the rainbow community who has been stopped, spoken to or arrested by police? *
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