* 1. What is your full name?

* 2. What are your comments in relation to the Terms of Reference for the Mitchell Freeway Extension Community Working Group?

* 3. What are your thoughts and concerns in relation to the road transport issues in the northern metropolitan corridor?

* 4. Would you like to receive updates on the Mitchell Freeway Extension Working Group?

* 5. What is your email address?

* 6. Which category below includes your age?