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About GOG
Get Involved
NEWS & EVENTS
- News
- Feedback
- Events
- Patterns!
- GoG Newsletters

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Community Threads EOI

Completion of this form indicates you wish to find out more about participating in the “Community Threads” project and that you give permission for the GOG community liaison officer to contact you about it.
About you
Questions about you so we can tell ACT Health a little about the type of people who were interested in this project.
1. Your first name*
2. Your age (in years)*
3. Your gender*
- Female
- Male
- Non-binary
- Other
- Prefer not to say
4. Were you born in Australia?*
- Yes
- No
4a. If you were NOT born in Australia, which country were you born in?
4b. If you were NOT born in Australia, what year did you arrive in Australia?
5. What language do you normally speak at home?*
- English
- Other
5a. What language do you speak at home?
6. Do you identify as:
- Aboriginal
- Torres Strait Islander
- Both Aboriginal AND Torres Strait Islander
- Culturally and/or linguistically diverse other than above
- None of the above
Your Experience
Questions about your experience with knitting/crocheting so we can work out how much support you might need.
7. How much experience have you had with knitting?
- None at all
- Only a little
- Moderately experienced
- Very experienced
8. How much experience have you had with crocheting?
- None at all
- Only a little
- Moderately experienced
- Very experienced
9. What do you want to learn?*
- Knitting
- Crocheting
- Both Knitting and Crocheting
- I don't mind which I learn
10. Do you think you might need one-on-one teaching?*
- Yes
- No
11. Would you be happy to receive support within a larger group setting while staying COVID safe?*
- Yes
- No
11. Would you prefer to learn with someone one-on-one in your own home?*
- Yes
- No
Internet Access
Questions about your access to the internet, computers, and mobile phones so we can best support you.
12. Do you have the internet at home?*
- Yes
- No
13. Do you have a computer at home you can use?*
- Yes
- No
14. Do you have access to a computer at your local library?*
- Yes
- No
15. Do you have access to a mobile phone?*
- Yes
- No
16. Do you feel comfortable using a computer to access information or different websites?*
- Yes
- No
The Project
Questions about how you heard about the project and why you were interested in taking part, so we know for our future activities.
17. How did you hear about this project? (Tick all that apply):
- I heard about it from a friend (word of mouth)
- I read about it in the newspaper
- I saw a poster / brochure in the library
- I saw a poster / brochure in a coffee shop
- I heard about it on social media
- I found out about it on the web
- Other
17a. Other, please describe
18. What attracted you to this project? (Tick all that apply):
- I was bored and wanted something to do
- I was looking for a way to meet people
- I was wanting to take up a new hobby
- I was looking for something that I would find relaxing
- I wanted to do something to take my mind off worries and things (like the coronavirus)
- I wanted to “give back” to the community
- Other
18a. Other, please describe
Contact Details
Your contact details so we can get in touch with you and deliver your Starter Kit!
Your first name*
Your last name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Your email address
Your landline phone number
Your mobile phone number
Preferred method of contact?*
- Landline
- Mobile Phone - call
- Mobile phone - SMS
- Email

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