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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What are your business details?

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* 4. What are your contact details? (please provide at least one)

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* 5. What type of business are you in?

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* 6. Please rank in priority order the cost areas that most concern you this financial year?
Note: Use the arrows on the right to move the areas of concern up and down the list. The one you place at the top should be your highest concern, the one at the bottom the one you find least concerning.

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* 7. Have you recently reduced staff numbers or are you currently considering reducing staff numbers to reduce input costs?

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* 8. Have the Albanese Labor Government's industrial relations changes to small and family businesses increased red tape or complexity for your business?

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* 9. If 'yes' please describe how

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* 10. In your view, what is the most important action the Federal Government should take to help small & medium business?

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