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Community Survey

Let us know about YOU!

First name

Last name

Email

Phone

Electoral Roll Address

Other/Postal Address

Suburb

Postcode

State

Country

Age

Where were you born?

How can David be of help?

Living arrangements

Marital status

Do you have children

Select how important each of the following areas of government is to you:

Gov't Debt

Reducing Taxes

Free Speech

Drug Reform

Human Rights

Health

Education (+Uni)

Kinder/Childcare

Energy

Environment

Housing

Homelessness

Emergency Services

Public Transport

Roads

Please check all of the boxes that apply

Employed Full Time

Employed Part Time

Employed Casual

Unemployed

Student

Stay at Home Parent

Please check all of the boxes that apply

Age Pensioner

Disability Pensioner

Self-Funded Retiree

I am an Australian Citizen

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Thanks for having your say.

Note: Members of Parliament and their Electorate Officers are bound to strict confidentiality requirements, and will not share any provided information without the users consent

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Email

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david.limbrick@parliament.vic.gov.au

1/1174 Nepean Highway, Cheltenham, VIC 3192

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