The (insert council) is concerned about the consumption of alcohol products in our community. Alcohol fuels violence and chronic diseases, and causes significant harm to individuals, families and communities. We know you want our community to be a healthy and safe place to live, so we would like to hear your thoughts on this issue. In appreciation of your time, we will offer $100 Coles/Myer vouchers to two randomly selected survey respondents.
The (insert council) includes the suburbs of (list).
If you would like to discuss this project with the (insert council), you can contact (insert).
This survey will remain open until (insert date).
Other – please specify:
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If you stated yes, please provide a specific location:
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If yes, would you like to make comment?
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Would you like to comment?
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Would you like to comment?
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Thank you for your time.
This tool was developed with the support, expertise and guidance of Dr Melissa Stoneham.