Complete our survey - Voices of Belconnen and Gungahlin (BGV)

First name

Last name

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1. What suburb do you currently reside in?

2. Do you believe that your currently elected representative/s are reasonably accessible, do a good job representing you, and are free from vested interests?

Federally - to a Good Extent

Federally - Partially

Federally - No, not particularly

Federally - Unsure

Territory - to a Good Extent

Territory - Partially

Territory - No, not particularly

Territory - Unsure

3. Do you feel that any of the following issues are important to your community that are not being adequately addressed?

4. Other - please specify:

5. In general, do you think your community would benefit from having more independent voices in Parliament?

6. In your opinion, what makes for a good elected representative?

7. If a credible independent candidate stood for this community, how likely would you be to consider voting for them?

8. Would you be willing to support a community independent movement in any of these ways (either at the Territory and/or Federal levels)?

Attend an Event (e.g. Mobile Stall or Community Forum)

Volunteer my time (e.g. Event management, governance and decision making).

Subscribe for updates

Make a financial contribution

Not interested at this time

9. Do you have any other thoughts about independent representation that you would like to share?

10. What age group are you in?