1.Contact details

Name

Address

Email Address

Phone Number

2.Are you?

Male

Female

3.What age group do you fit into?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

4.Which area do you live in?

Region1 - North West Plains

Region 2 – New England Tablelands

Region 3 – Western Plains

Region 4 – Liverpool Plains & Lower Hunter

Region 5 – Upper Riverina

Region 6 – Central West

Region 7 – Upper Hunter and Sydney Basin

Region 8 – Lachlan

Region 9 – Riverina

Region 10 – South West

Region 11 – South Coast

Region 12 – Western Division

Region 13 – North Coast

From another state? Which one?

5.Which from the list below best describes your occupation?

Large farm owner

Small farm owner

Farm or property manager

Farm worker

Working in an agricultural – related role i.e. agronomist, teacher

Student

A Professional working for a company that sells farm-related services or products i.e. Machinery and equipment, Finance and insurance, logistics, animal feed, etc

Non-agriculture related small business owner

Government or advocacy

Retired

Other:

6.How long have you been a member of NSW Farmers?

I’m not a member (Go to question 9)

0-6 months (go to Q6)

7-11 months (go to Q7)

1-2 years (go to Q7)

2-5 years (go to Q7)

5-10 years (go to Q7)

10-15 years (go to Q7)

15-25 years (go to Q7)

25 years + (go to Q7)

I am not a member of NSW Farmers (go to Q9)