Skip survey header
Use this for all surveys

Age Friendly Darebin Participation

Connecting and Responding to Homelessness Training Feedback

Provided by Merri Outreach Support Service for Darebin Council staff
 
4. Contacting You *This question is required.
Are you happy for us to contact you to discuss your options and availability? *This question is required.
Please provide your name and phone number:

The collection and handling of personal information is in accordance with Council's Privacy Policy which is displayed on Council's website and available for inspection at, or collection from, Council's Customer Service Centres. The personal information collected from you will only be used for the purpose of this survey and Council will treat your information confidentially.  *This question is required.
Space Cell Details
Full name *This question is required
Phone number *This question is required
5. Your Age Group
6. Your postcode