Community Survey

Name
Address
The Issues
Please number the four issues that concern you most.
If you could raise one issue in the Federal Parliament, what would it be?
If you could fix one problem in our local area, what would it be?
I ALWAYS support the following party
Please select one of the following options: (optional)
OR I USUALLY support the following party
Please select one of the following options: (optional)
OR
Please select one of the following options: (optional)
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