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Yaburara and Coastal Mardudhunera Community Survey October 2024
About you
Please answer these questions about yourself
*
1.
Please select your gender
(Required.)
Male
Female
Other
Male
Female
Other
*
2.
What is your age?
(Required.)
16-19
20-29
30-39
40-49
50-59
60-69
70+
16-19
20-29
30-39
40-49
50-59
60-69
70+
3.
Where were you born? Name the town or community and state.
4.
Name the community or town you are living in.
*
5.
What language(s) do you speak at home?
(Required.)
Native or community language
English
Other