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Community Survey (for residents aged 60 or above).

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  2. Livingstone Shire Council is collecting the personal information you supply on this form for the purpose of providing appropriate support to clients. Your personal details will not be disclosed to any other person or agency external to Council without your consent, unless required or authorised by law.

  3. Which age group are you in?

  4. Please choose as many as apply.

  5. Do you agree? Please tick as many as apply.

  6. Leave This Blank:

  7. This field is not part of the form submission.