JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
National Community Engagement Survey
Sign in to Google
to save your progress.
Learn more
* Indicates required question
About you
1. Where are you based?
*
Choose
Victoria
New South Wales
Queensland
South Australia
Western Australia
Australian Capital Territory
Northern Territory
Tasmania
2. Do you live in a metro or regional area?
Metro
Regional
Clear selection
3. What is your age bracket?
*
Under 18
18-24
25-34
35-44
45-54
55-64
65+
Next
Page 1 of 3
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
