Community Survey

Name *

First Name

Last Name

Phone *

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Please tick the boxes below if you or anyone in your household attend any of the following: *

Preschool

Primary School

Secondary School

University

TAFE

Apprenticeship

N/A

Please tick the boxes of your top 3 issues that are important to you: *

Education and Training

Roads

Public Transport

Hospitals and Healthcare

Cost of Living

Community Safety

Assistance for Senior Citizens

Environment and Climate Change

Jobs and the Economy