WA Rheumatic Heart Disease Strategic Framework Survey

Page 1 of 10

Closes 10 Jan 2026

About You

To help us understand who is providing their views on this consultation, we would appreciate if you could provide the following information.

Do you identify as Aboriginal and/or Torres Strait Islander?
(Required)
Choose an option that applies about your location
(Required)
What role are you currently in? (Select all that apply)
(Required)
What is the name of your organisation? (Optional)
What is your connection to ARF/RHD? (Select all that apply)
(Required)
Do you wish for your response to remain confidential?
(Required)