I am interested in your views and feedback

By answering the following questionnaire, you will enable me to serve you better.
Your answers will allow me to address the issues that are most important to you.

1. Rank the following areas of State Government responsibility according to your level of concern.

High

Avg

Low

None

Health and Hospitals

Regional Development

Police/Law & Order

Agriculture

Housing

Environment

Community Services

Land & Water

School Education

Indusrial Relations

Small Business

2. Please list specific local issues which may be of concern to you.

3. Please provide your current town or suburb

3. Any further comments:

Name

Telephone


Fatal error: Call to undefined function recaptcha_get_html() in /home/thomasge/public_html/survey.php on line 307