Thank you for taking the time to fill in this survey, the information collected will guide the Shire of Goomalling in identifying the age-friendly features, barriers, and suggestions for improvement.

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

An online version of this survey can be found at https://www.surveymonkey.com/r/GoomallingAFC

Please return your completed survey to: Shire of Goomalling 32 Quinlan Street GOOMALLING 6460

The survey will close at 4:30pm on Friday 12 February 2016.

If you have any queries about the project, please contact Tahnee or Andrea on 96291101.

If you would like to be kept informed about the Age Friendly Community Plan please provide your preferred contact details below:

Name:

___

Phone:

Postal Address: ___

Email:

___

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