1.

Following feedback from members of the Australian Dental Industry Association (ADIA) the association is pleased to bring members together to make a difference to the communities in which the dental industry operates.

To allow ADIA to understand the community issue(s) which are most important to you, it would be appreciated if you could complete this brief survey.

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* 1. Subject to your availability, would you be willing to support and / or participate in one of the activities listed at Question 4 (below):

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* 2. What state are you located in?

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* 3. Subject to availability, would you be willing to involve the following people?

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* 4. Which event/s would you be willing to support.

  Not Interested May Support Likely To Support Definately Will Supprt
Earth Hour (Environmental protection)
Light The Night (Leukaemia foundation's)
Movember (Cancer research)
Australia’s Biggest Morning Tea (Cancer research)
World’s Greatest Shave (Leukaemia research)
Loud Shirt Day (Children’s hearing)
National Boardies Day (Surf life saving)
National Ride To Work Day (Community action)
Million Paws Walk (Animal protection)
National Hoodie Day (Aboriginal mentoring)
Clean Up Australia Day (Environmental protection)
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