* 1. Do you support or oppose the proposed Adani coal mine in Central Queensland's Galilee Basin?

* 2. Do you support or oppose giving state and federal subsidies/ tax breaks to Adani and associated infrastructure projects?

* 3. Do you want your local politician to take a public stance against Adani's proposed coal mine and other new coal mines?

* 4. Do you agree or disagree that it is time to transition to renewable energy sources like wind and solar?

* 5. Do you agree or disagree that your electorate/local region should be an Adani-free Zone (ie Councils, businesses and the wider community refusing to do business with companies with links to Adani)?

* 6. Would you be interested in assisting people taking actions against the Adani mine? If 'yes', we will contact you.

* 7. Would you be interested in visiting a frontline Stop Adani camp? If 'yes', we will contact you.

* 8. Would you like updates about the Stop Adani campaign, are you interested in volunteering, do you want no further contact?

* 9. If you had one message to send your MP about the proposed Adani coal project, what would it be? [OPTIONAL]

* 10. Address

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