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* 1. Are you male or female?

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* 2. Please indicate your age.

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* 3. Which of the following categories best describes your employment status?

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* 4. In what Local Government Area do you live?

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* 5. Which best describes why you live in your current location?

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* 6. In what town do you live?

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* 7. Which of the following best describes your living and working arrangements?

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* 8. What is your estimated daily traveling distance to and from work?

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* 9. What is the highest level of school you have completed or the highest degree you have received?

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* 10. Are you currently undertaking any further education or formal training?

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* 11. The following question is optional.
What was your pre tax earning for the 2011/12 financial year? Small businesses owners can enter the amount you paid yourself in wages for this period.

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* 12. What Industry do you currently work in?

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* 13. Do you have qualifications in an industry other than the one in which you currently work?

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* 14. Please identify the reasons why you currently don't use these qualifications or skills. You may choose more than one response.

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* 15. What skills and services do you think are lacking in your community?

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* 16. What opportunities do you see in your community for new business/industries?

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* 17. What do you consider some of the main assets of your community as a place to live, work or own a business? (eg schools, health services, existing businesses or services, sporting facilities, community activities, location)

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* 18. What ideas do you have to make the local economy stronger and create more jobs?

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* 19. Are you considering, or have you previously considered, starting a business?

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* 20. What do you believe are the barriers to starting a small business in your community?

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* 21. Is your job dependent on water availability?

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* 22. Do you think any reduction in water avaliability will impact on your current job / business?

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* 23. What is your overall opinion of your community as a place to conduct business?

  1 2 3 4 5
1 poor and 5 being excellent

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* 24. If you currently run a farming enterprise, do you have an off-farm income? Please select the most appropriate responses. You may select more than one.

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* 25. Do you feel online retailing is impacting on your business or workplace ?

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* 26. With regard to online retailing, please indicate any of the statements that are applicable to your business.

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* 27. This question is to see what your attitudes are towards the following issues in the region and the impact on your business or workplace.

  Opportunity Threat
Mining
Online Retail and Services
Centralised Purchasing / Procurement practices of all levels of Government

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* 28. Do you use a contractor to carry out any function of your business?

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* 29. If you responded yes to using a contractor, please tick any statement you agree with for a reason for using contractor services?

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* 30. If a new business was looking to set up in your community what assistance do you think could be provided.

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* 31. How do you currently recruit new staff or fill vacancies, you may indicate more than one option?

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* 32. Rental shortages are an issue in many communities across the Orana region. Do you have a farm house that would be suitable for rental?

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* 33. If yes, are you interested in participating in the "rent a farmhouse scheme" that has been implemented in Trundle, Coonamble and other towns in the central west?

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* 35. For your household, do you use paid services (eg cleaners, gardener, child care)

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* 36. If you answered "Yes" to Q35 please indicate the services you currently use?

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* 37. What other home based or personal services are needed in your community?

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