Please Complete our Survey

Title

First Name *

Last Name *

Email Address *

Home Address

City

State

Tell us how you feel about...

Issues that concern you most:
Increases in the cost of living like higher water and electricity charges
Better management of the Murray Darling Basin
Fixing local hospitals and reducing hospital waiting lists
Tackling anti social behaviour and hoon driving
Restoring Government accountability and ending wasteful spending
Ensuring public transport services keep pace with urban growth
More support for our police to help clean up our streets
Repairing and upgrading our roads and fixing accident blackspots
Protecting our local environment
Supporting local businesses to create more jobs for younger people

If you could fix one problem in our local area, what would it be?

Please select from one of the following options.

I usually support the following at elections
Liberal
Labor
The Greens
Family First
Independent/Other

OR, I always support the following at elections
Liberal
Labor
The Greens
Family First
Independent/Other

OR, I don't usually support any political party