New residents feedback survey
As new residents' to Fairfax, please let me know what's important to you.

Thank you for taking the time to fill out my short survey.

Regards,
Ted

Ted O'Brien MP
Federal Member for Fairfax

Sign in to Google to save your progress. Learn more
Name: *
Email: *
Phone number: *
If you could fix one problem in our local area what would that be? *
On national issues, are there any issues that are important to you which you would like to see the Federal Government do more to address? *
Would you like to receive my weekly eNewsletter (you can opt out at any time)? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Liberal National Party. Report Abuse
Google Forms