1. Some basic information from you

The feedback received from our discussion kits will allow us to facilitate groups of people online to discuss perspectives on topics where their views might differ. 

If you'd like to participate in these paired conversations, please opt-in below.

If you participated in a kitchen table discussion but weren't the one who submitted your answers, you will need to provide the name of the person who did, so we can correctly match your feedback with you.

If you have any questions, please contact The newDemocracy Foundation at: water@newdemocracy.com.au

Question Title

* 1. What is your name?

Question Title

* 2. What town or suburb do you live in?

Question Title

* 3. What is your postcode?

Question Title

* 4. What is your telephone number?

Question Title

* 5. What is your email address?

Question Title

* 6. If you did not submit your groups' discussion kit, please provide the organisers' name here, so we can correctly match your responses:

Page1 / 1
 
 100% of survey complete.

T