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* 1. Which issues concern you the most? Please tick as many as apply.

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* 2. How would you like me to represent you? Please tick as many as apply.

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* 3. The environment was a key issue in the 2019 Federal Election in Warringah. Which issues concern you?  Please tick as many as apply.

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* 4. Which of the following applies to you?

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* 5. Where do you commute for work or study?

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* 6. If you work or study outside the home, how do you commute there?

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* 7. Are you or a member of your family part of any local community groups or organisations (for example sport, environment, cultural etc)?

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* 8. Do you speak a language other than English at home?

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* 9. I would like to create positive change in Warringah with the help of a grassroots community movement.  How would you like to be involved in achieving this?

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* 10. Where do you place yourself on the political spectrum?

Left Centre Right
i We adjusted the number you entered based on the slider’s scale.

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* 11. If you could fix one issue in Warringah what would it be?

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* 12. How would you prefer to be contacted?

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* 13. For me to communicate in the most environmentally friendly and timely manner, please provide your email address.

0 of 13 answered
 

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