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Have Your Say - Disability Action Plan
Have Your Say - Disability Action Plan
Current
Personal Details
Reviewing the Disability Action Plan Pillars
Complete
Name
First Name
Last Name
Contact Number
Township
Please provide your township if you live in Golden Plains Shire. If not, please enter NA and then select an option in the following question.
Other location
I work in Golden Plains Shire, but do not live in the Shire.
I do not live or work in Golden Plains Shire.
Email
Please enter your email address if you would like to be kept informed about this project.
Age Range
17 and below
18-24
25-34
35-49
50-59
60-69
70-84
85 and above
Not disclosed
Gender
Female
Male
Non-binary
Self-described
Prefer not to say
Do you identify as a person with disabilities?
Yes
No
Are you a carer or family member of a person with disabilities?
Yes
No
Are you Aboriginal and or Torres Strait Islander?
Aboriginal
Torres Strait Islander
Neither
Are you an employee at Golden Plains Shire?
Yes
No
