WHAT AUSTRALIA WANTS
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What Australia Wants
Woonona, NSW
Australia
Participation form, for monthly polls/ surveys
If you would like to have a say in shaping your future and society please fill out the following form. You will receive monthly polls and results!
Your Name
*
First
Last
If you are not comfortable with providing your name, you can choose to omit it.
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Your Email
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Your State or territory
*
NSW
Vic
QLD
WA
NT
SA
Tas
ACT
Your postcode
*
Additional information
*
Although not required, it would be greatly appreciated if you could provide us information on your age, sex, educational status, and if you born in Australia. This information would help us in generating more meaningful insights, and make a stronger case to governments in advancing societal interests! Lastly, if you have feedback on our polling, please provide it here.
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