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- Sex*
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Format: 00000000.
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- Residential Status*
- Race*
- Marital Status*
- What is the highest level of education you have completed?*
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- Which of the following best describes your main work status over the last 6 months?*
- What is your Designation?*
- What is your field of work?*
- What is your area of interest?*
- Which area(s) of community service are you interested in?*
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- Dietary Requirements*
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- Do you have any existing medical condition, mental health condition, special needs, physical impairment or substance dependence (i.e. dependence on alcohol, drugs, etc, excluding prescription by a certified medical professional)?*
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- As part of our commitment to inclusivity, we invite you to indicate if you belong to any of the following groups.
- How did you find out about Well-Being Circles?*
- I understand that photograph(s) or image(s) will be captured during the Well-being Circles programme. Happiness Initiative and National Youth Council, may use and publish such photographs and/or video recordings in websites, social media channels and other communication channels.*
- I consent to receive marketing materials on programmes and events from the National Youth Council (including Youth Corps Singapore and Outward Bound Singapore).*
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- Should be Empty: