Community Survey | Nicole Robins - Liberal for Jandakot

First name

Last name

Address

Suburb

Postcode

Email

Phone

Required questions are denoted with (*)

What do you like most about our community?

If you could change one thing in our community, what would it be?

Do you normally support a particular Party?

What issues are important to you?

Would you like me to contact you to discuss any of these issues?

Yes

No

I would like to receive your community newsletter.

Let me know what's important to you.