"Your voice matters"

We welcome open, honest feedback that helps us understand you and your community.

Fa’afetai tele lava for trusting us with your thoughts.

I understand and agree to submit feedback respectfully.

First name

You can advise us at the end of the form whether your feedback is to be kept anonymous.

Last name

Village

Phone

Email

We value diversity and are committed to listening to all voices — including those of women, men, fa’afafine, fa’atama, and members of the disabilities community. These questions are optional, and your privacy will be respected.

I identify as .....

Do you live with a disability or support someone who does?

Yes, I live with a disability

Yes, I care for or support someone with a disability

No