* 1. What is the name of your town / suburb you'd like to see Renewed? Please include state.

* 2. Do you have vacant spaces in your main street / area?

* 3. If you answered 'Yes' to the previous question, approximately how many vacant spaces exist?

* 4. Are you interested in being involved or helping to facilitate a Renew initiative in your local community?

* 5. Please describe (briefly) why a Renew initiative would work well in your area and how you think it could help your community.

* 6. Is there anything else you would like to know or find out about regarding Renew Australia and Renew initiatives?

* 7. How did you first hear about Renew Australia?

* 8. Are you a (tick all that apply)

* 9. Your full name, organisation and email contact