ANNEX 2: COMMUNITY SURVEY

Shire of Goomalling Age Friendly Community Plan Seniors Survey

The Shire has been successful in obtaining funding from the Department of Local Government and Communities to assist us to prepare an Age Friendly Community (AFC) Plan.

To ensure our Plan is relevant for our community and reflects the current and future needs of our community we are asking you to help us with the development of the plan.

There are two ways for your voice to be heard and ideally we need you to participate in both.

Firstly we need our residents, especially our seniors, to complete this survey. If you need assistance with the survey please phone the office (9629 1101) and arrange a time to meet with Tahnee or Andrea. Secondly once we have the surveys returned and collated you will be invited to attend a meeting on the 9th February 2016, 10am at the CRC.

The information collected in the survey will be used in the AFC Plan that will enable Council to apply for funding as it becomes available and action relevant projects identified by the community in conjunction with the Strategic Community Plan.

Please return your completed survey to the Shire no later than Friday 12 February 2016, 4:30pm.

Please select your age category:

• ○Below 54
• ○65 - 69
• ○80 - 84
• ○55 - 59
• ○70 - 74
• ○85 and over
• ○Sex: ☐ Male
• ○60 - 64
• ○75 - 79
• ○Female

Present employment status:

• ○Retired
• ○☐ Retired
• ○Work Full-time
• ○Work Part-time
• ○Unemployed

Locality:

• ○Goomalling
• ○Goomalling
• ○Cunjardine
• ○Cunjardine
• ○Jennacubbine
• ○Ucarty
• ○Konnongorring
• ○Walyormouring
• ○Karranadgin
• ○Hulongine

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