Bendigo
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Name:
Email:
Comment:
Email Address
*
First Name
Last Name
Phone Number
DOB
SUBURB
Household situation
Aged 18-45, no kids at home
Have young kids at home (under 10)
Have older kids at home (10-18)
have both younger and older kids at home
Over 45, all adults at home
Profession
Household income
*
less than $50 000
$50 000 - $74 999
$75000 - $150 000
$150 000 plus
Number of years living in Australia
less than 5
5 or more
All my life
Work situation
Unemployed
Student
Part-time/casual
Fulltime
Retired
Stay at home mother
Gender
Male
Female
