We Care Community Membership & Support Survey 2026

We Care Community Membership & Support Survey 2026

Our goal is to support individuals and families in our community with care, dignity, and respect.This form helps us understand your needs so we can provide appropriate support and ensure our services are delivered effectively.
Adult Name

First NameLast Name
Adult Date of Birth

DayMonthYear
Adult Gender

Other
Phone Number
Please enter a valid phone number.Format: 0400 000 000.
Email

Confirmation Emailexample@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Verified Household Key
Country of Birth
Main Language Spoken at Home
Please Specify
Ethnicity / Cultural Background
Please Specify

- How many adults are aged over 60?
  Please enter 0 if none.
- Senior1 Name
  
  First NameLast Name
- Senior1 Birthday
  
  MonthDayYear
- Senior1 Gender
- Do you want to add another Senior?
- Senior2 Name
  
  First NameLast Name
- Senior2 Birthday
  
  MonthDayYear
- Senior2 Gender
- Do you want to add another Senior?
- Senior3 Name
  
  First NameLast Name
- Senior3 Birthday
  
  MonthDayYear
- Senior3 Gender
- Do you want to add another Senior?
- Senior4 Name
  
  First NameLast Name
- Senior4 Birthday
  
  MonthDayYear
- Senior4 Gender
- How many adults are aged between 25 and 60?
  Please enter 0 if none.
- Adult1 Name
  
  First NameLast Name
- Adult1 Birthday
  
  MonthDayYear
- Adult1 Gender
- Do you want to add another Adult?
- Adult2 Name
  
  First NameLast Name
- Adult2 Birthday
  
  MonthDayYear
- Adult2 Gender
- Do you want to add another Adult?
- Adult3 Name
  
  First NameLast Name
- Adult3 Birthday
  
  MonthDayYear
- Adult3 Gender
- Do you want to add another Adult?
- Adult4 Name
  
  First NameLast Name
- Adult4 Birthday
  
  MonthDayYear
- Adult4 Gender
- How many adults are aged between 18 and 25?
  Please enter 0 if none.
- Young Adult1 Name
  
  First NameLast Name
- Young Adult1 Birthday
  
  MonthDayYear
- Young Adult1 Gender
- Do you want to add another Young Adult?
- Young Adult2 Name
  
  First NameLast Name
- Young Adult2 Birthday
  
  MonthDayYear
- Young Adult2 Gender
- Do you want to add another Young Adult?
- Young Adult3 Name
  
  First NameLast Name
- Young Adult3 Birthday
  
  MonthDayYear
- Young Adult3 Gender
- Do you want to add another Young Adult?
- Young Adult4 Name
  
  First NameLast Name
- Young Adult4 Birthday
  
  MonthDayYear
- Young Adult4 Gender
- How many children are aged between 12 and 18?
  Please enter 0 if none.
- Teen1 Name
  
  First NameLast Name
- Teen1 Birthday
  
  MonthDayYear
- Teen1 Gender
- Do you want to add another Teen?
- Teen2 Name
  
  First NameLast Name
- Teen2 Birthday
  
  MonthDayYear
- Teen2 Gender
- Do you want to add another Teen?
- Teen3 Name
  
  First NameLast Name
- Teen3 Birthday
  
  MonthDayYear
- Teen3 Gender
- Do you want to add another Teen?
- Teen4 Name
  
  First NameLast Name
- Teen4 Birthday
  
  MonthDayYear
- Teen4 Gender
- How many children are aged between 6 and 12?
  Please enter 0 if none.
- Child1 Name
  
  First NameLast Name
- Child1 Birthday
  
  MonthDayYear
- Child1 Gender
- Do you want to add another Child?
- Child2 Name
  
  First NameLast Name
- Child2 Birthday
  
  MonthDayYear
- Child2 Gender
- Do you want to add another Child?
- Child3 Name
  
  First NameLast Name
- Child3 Birthday
  
  MonthDayYear
- Child3 Gender
- Do you want to add another Child?
- Child4 Name
  
  First NameLast Name
- Child4 Birthday
  
  MonthDayYear
- Child4 Gender
- Do you want to add another Child?
- How many children are aged under 6?
  Please enter 0 if none.
- Young Child1 Name
  
  First NameLast Name
- Young Child1 Birthday
  
  MonthDayYear
- Attending We Care Playgroup
- Young Child1 Gender
- Do you want to add another child?
- Young Child2 Name
  
  First NameLast Name
- Young Child2 Birthday
  
  MonthDayYear
- Attending We Care Playgroup
- Young Child2 Gender?
- Do you want to add another child?
- Young Child3 Name
  
  First NameLast Name
- Young Child3 Birthday
  
  MonthDayYear
- Attending We Care Playgroup
- Young Child3 Gender?
- Do you want to add another child?
- Young Child4 Name
  
  First NameLast Name
- Young Child4 Birthday
  
  MonthDayYear
- Attending We Care Playgroup
- Young Child4 Gender?
- We Care offers a range of programs to support individuals and families in our community. Please read the information below and select the services you would like to access
  
  We Care Playgroup
  - A welcoming space for families with children aged 0-5 to connect, play and build community.
  - Held weekly during school terms at We Care Community Services.
  Community Pantry
  - Providing practical food support for individuals and families experiencing financial or personal hardship.
  - To access this service, you will need:
    
    Proof of residency in Dandneong.
    
    A valid Concessio or Health Care Card.
  By selecting a service below, you acknowledge that you have read the eligibility requirements.
- Which We Care services would you like to access?

Seniors Support

Adult Support

Young Adult Support

Teen Support

Children Support

Young Children Support

I declare that the information provided in this form is true and correct to the best of my knowledge. I understand that 'We Care' collects this information to provide me with support services and to advocate for community funding.
I consent to 'We Care' storing my information securely
I consent to my de-identified data (age, suburb, needs) being used for grant applications and reporting.
I agree to the 'We Care' Code of Conduct when visiting the center.
To join the 'We Care' program, agreement to the Data Usage and Code of Conduct is required. If you have concerns about these points, please speak to Nikki or a staff member at the hub for more information.
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