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Talent Registration - Finding Common Ground
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11
Questions
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1
Name and Surname:
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First Name
Last Name
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2
Email Address:
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3
Are you based in Auckland?
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YES
NO
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4
Do you have children?
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YES
NO
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5
How many children do you have?
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Please Select
1
2
3
4
5 +
Please Select
Please Select
1
2
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4
5 +
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6
Please enter their age/s
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7
Select from the below statements that applies to you:
*
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I am a teacher
I am a sports coach
I am a youth worker
I run an after school gaming programme
I own an esports organisation
I am an esports club advisor/coordinator
I run a community esports group
Other
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8
On a scale, rate your opinion on the following statements:
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I believe that video games and esports have a positive impact on children.
Pursuing a career in esports is not a viable option for young people.
Gaming communities provide a sense of belonging for children.
Prolonged gaming has negative impacts on a child's physical health.
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
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Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
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Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
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Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
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I believe that video games and esports have a positive impact on children.
Pursuing a career in esports is not a viable option for young people.
Gaming communities provide a sense of belonging for children.
Prolonged gaming has negative impacts on a child's physical health.
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
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Row 1, Column 1
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Row 1, Column 3
Row 1, Column 4
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
Row 2, Column 0
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Row 2, Column 3
Row 2, Column 4
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
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9
Please select what weekend you will be available for filming:
*
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Confirmation of date and time will be shared well in advance. Please select all dates of availability.
Saturday, 14 September
Sunday, 15 September
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10
Would you be willing to participate in a face-to-face discussion and be filmed for the series?
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YES
NO
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11
By participating, you agree to provide honest opinions and engage in empathetic conversations. Do you consent to this?
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YES
NO
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