Community Survey

By working together, we can make our local community an even better place to live. Your views and ideas are very important. Please let me know, in a much details as possible, your priorities for our local area.

Please complete the following details so I can get in touch with you:

Title:
Name:	* required
Email:	*
Phone/Fax:
Address:
Suburb	*
Postcode:	*

What facilities and/or services do you feel are needed in our local area?
What do you think are the priorities for making our community safer?
Are there any local environment problems you believe need to be fixed?
Are there any local roads, intersections or footpaths you feel are unsafe and in need of repair or improvement?
If you could fix one thing in our local area, what would it be?

OPTIONAL (Please tick your choice)

Generally, do you consider yourself:

A committed party voter

If yes, which party are you committed to?

Labor	Liberal	National
Green	Democrat	Independent
One Nation	Family First	Other

An uncommitted/swinging voter

If yes, which party do you generally prefer?

Labor	Liberal	Nationals
Green	Democrat	Independent
One Nation	Family First	Other