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Name: |
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Email: |
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Phone: |
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Mobile: |
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Street Address: |
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Postal Address: |
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Your message and/or comments: |
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Survey Questions
Please number
(from 1 - 4) the four most important issues in your local
area: |
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Helping local businesses to grow to create more job opportunities |
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Developing social policies to help families and communities |
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Providing more opportunities for our youth and families to stay in Tasmania |
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Protecting Tasmanians by making criminals more responsible for their actions |
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More support and opportunities for senior Tasmanians |
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Taking more responsibility to fix our environmental problems |
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Enhancing opportunities for our children by lifting educational standards in our schools |
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Taking responsibility to shorten hospital surgery waiting lists |
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Enhancing opportunities for our children by lifting educational standards in our schools |
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If you could fix any problem in your local area/state, what would it be? |
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OPTIONAL
Please select ONE of the
following options: |
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ALWAYS
support the following party
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or
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USUALLY support the following party
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