Household information

West Wimmera Shire Council wants to understand how residents are physically active and what would help them be more active and connected to the community. Please include everyone who usually lives in your household, including adults and children. People who are not currently active are encouraged to respond. This survey allows you to answer for up to 5 people in your household. If you have six or more, please complete an additional survey.

Adults should answer for themselves where possible. Parents or carers can answer for children, involving them where appropriate. You can skip any question you do not wish to answer. Please do not provide names.

Physical activity includes:

• Sport such as Australian Rules Football, netball, tennis, cricket, basketball, lawn bowls and golf
• Active recreation such as walking, swimming, pilates, dance, gym, fitness classes, gardening and active play
• Active transport such as walking, cycling or wheeling to school, work, shops or other destinations.

While filling out the survey, if you need to return to the previous page, please press 'previous page' rather than the browser's 'back' button.
Household questions

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1. How many people usually live in your household, including yourself and all children?

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2. Which town or locality do you (and your family) live in, or live closest to?

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3. Do you live:

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