COMMUNITY SURVEY

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COMMUNITY SURVEY

Bert wants to know what you think. Please take the time to fill out the survey below so we can be aware of your issues and concerns. Your views are important to Bert and the Forde community.

Top 4 Important Issues
Please number the four most important issues to you (from 1 to 4) by entering the numbers into the fields below.
Building a stronger economy
Tackling crime in our community
Securing Australia’s borders
Reducing cost of living pressures
Creating local jobs
Improving health care
Support for local education
Improving and building new roads
Supporting small business
Protecting our local environment
In Parliament
If you could raise one issue in the Federal Parliament, what would it be?
Our Community
If you could fix one problem in our local area, what would it be?
About politics
Please select one of the following options
- I ALWAYS support a political party
- I USUALLY support a political party
- I don't really support any political party
Which party do you support?
- Liberal National
- Labor
- Greens
- Katter
- One Nation
- Independent/Other
Your Details
Title
Name*
First Last
Address
Street Address Address Line 2 City State Post Code Country
Home Phone
Mobile Phone
Email*
How do you prefer to be contacted?
- Mail
- SMS
- Email
Your work
Please select the option which best reflects your current situation
- Full-time
- Part-time
- Self-employed
- At home parent
- Unemployed
- Student
- Age pensioner
- Disability pensioner
- Self-funded retiree
Your Occupation
Name
This field is for validation purposes and should be left unchanged.

Contact Us

Email
bert.vanmanen.mp@aph.gov.au
Phone
(07) 3807 6340
Fax
(07) 3807 1990
Address
108 George Street (level 1)
Beenleigh QLD 4207

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Authorised by Bert van Manen MP, Liberal National Party, Beenleigh, QLD

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Top 4 Important Issues

In Parliament

Our Community

About politics

Your Details

Your work