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* 1. Which suburb in the state seat of Perth do you live in?

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* 2. How often do you currently use public swimming pools?

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* 3. How often would you use a local facility?

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* 4. I support a public swimming pool in the City of Perth.

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* 5. Are there complimentary facilities that you would like to see attached to any swimming pool in the local area?

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* 6. Please enter your contact details so that we can clarify any issues raised with you directly:

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