First name
Last name
Email
Mobile
1.
Your gender?
Please select
female
male
non-binary
prefer not to say
2.
Your age group?
Please select
18-24
25-34
35-44
45-54
55-64
65-75
75+
3.
Your residential postcode?
4.
Which of the following best describes your housing situation?
Please select
I rent a private home
I rent public housing
I own my home with a mortgage
I own my home without a mortgage
Other
5.
What type of household do you live in?
Please select
Single person
Couple
Family
Shared (with friends/housemates)
6.
Do you require assistance to participate in the online briefing on Tuesday 11th June, 2024 at 6pm (this briefing is a prerequisite to participate in the jury).
Please select
Yes
No
7.
Do you require transportation to attend this all day event on Saturday 15th June 2024 at Miramare Gardens, Terrey Hills?
Please select
Yes
No