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1. Are you homeless or at risk of becoming homeless?
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2. What types of housing and/or living assistance options are you interested in?
(You may tick more than one box)
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3. Are you under 16 years of age?
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4. Are you Male or Female?
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5. What best describes your family type?
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6. Does anyone in your household require assistance with the following support needs?
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7. Are you an Australian Resident/Citizen?
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8. Do you reside in Tasmania?
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9. Do you currently own a property?
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10. Which region are you interested in?
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11. Are you an Aboriginal or Torres Strait Islander?
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12. What is the main source of your household income?
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13. What is your current annual household take home income?
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14. Are you eligable for an Australian Government Health Care Card?
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15. Some Assistance is asset tested. What is the value of your Assets?