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

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Contact Details:

Office: 55 Carrington Street  LISMORE
Postal: PO Box 52  LISMORE  NSW  2480
Telephone: 1800 336 166 or 02 6621 3624
Facsimile: 02 6622 1403  Email: lismore@parliament.nsw.gov.au

Authorised by Thomas George MP. Funded using Parliamentary entitlements.