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* 1. Name

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* 2. Phone number

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* 3. Email address

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* 4. What is your age?

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* 5. Gender

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* 6. Suburb

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* 7. Which statement best describes what you think about City of Salisbury's current approach to streetscapes, footpaths and verges:

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* 8. Are there any other comments you would like to make about our streetscapes, footpaths and verges?

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