Kā Pou Whenua - Whānau Feedback - Registration Form Kā Pou Whenua - Whānau Feedback - Registration FormKia ora! Thank you for registering to share your experience with mental health and addiction services. To register, please answer the questions below or contact pouwhenuaproject@pw.maori.nz. For more information about the Kā Pou Whenua project, please visit www.pw.maori.nz/projects.Do you access or have you accessed a kaupapa Māori mental health and addictions service?(Required) Yes No Are you of Māori descent, and do you or have you, accessed a general mental health and addictions service (non kaupapa Māori)?(Required) Yes No Feedback OptionsI would like to provide feedback by:(Required) Online survey, I will visit www.pw.maori.nz/ka-pou-whenua-survey Private interview, please contact me to arrange this. I'm not sure, please contact me to discuss this. Private interview preferences and availability(Required)Contact DetailsFull name:(Required) Phone number:(Required) Email address:(Required) Ethnicity: (Optional) Iwi/Hapu: (Optional) MessageSend us a message (Optional)
