First name
Last name
Email
Mobile
1.
What is your postcode?
2.
Select your age bracket
Please select
14-18
18-24
25-34
35-44
45-54
55-64
65+
3.
How do you describe your gender?
Please select
Women
Man
Non-Binary
Other
Prefer not to say
4.
Do you identify as Aboriginal and/or Torres Strait Islander?
Please select
No
Yes, Aboriginal
Yes, Torres Strait Islander
Yes, both Aboriginal and Torres Strait Islander
Prefer not to say
5.
What is your occupation?
6.
What do you value about living here? What do you think makes our community unique?
7.
What do you think is the biggest problem with politics?
8.
What do you think are the qualities of a really good political representative?
9.
On a scale of 1-5 (with 5 being the best, and 1 the worst) how do you rate our current federal political representation here in Grey?
Please select
5 (Best)
4
3
2
1 (Worst)
10.
How much should Government be doing to address climate change?
Please select
Much more
More
About the same
Less
Much Less
11.
How much should Government be doing to address housing affordability (including rentals)
Please select
Much more
More
About the same
Less
Much Less
12.
How much should Government be doing to address rising cost of living expenses?
Please select
Much more
More
About the same
Less
Much Less
13.
How much should Government be doing to address tackling socioeconomic equality
Please select
Much more
More
About the same
Less
Much Less
14.
How much should the Government be doing to support primary producers, including agriculture, aquaculture and viticulture?
Please select
Much more
More
About the same
Less
Much Less
15.
How much should the Government be doing to support young families, education and access to affordable childcare?
Please select
Much more
More
About the same
Less
Much Less
16.
How much should Government be doing to support the healthcare system & Medicare
Please select
Much more
More
About the same
Less
Much Less
17.
How much should Government be doing to for refugees and people seeking asylum
Please select
Much more
More
About the same
Less
Much Less
18.
How supportive are you of a nuclear power plant being build in the seat of Grey?
Please select
Strongly Support
Support
Neutral
Against
Strongly Against
19.
Are there any other major issues you would like to tell us about?