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Your feedback and suggestions are important to assist the Project team to identify issues, risks and opportunities.

Your input may help to shape various aspects of the Project.

All comments and suggestions will be considered by the Project Team.

Information provided will be treated confidentially and responses (when required) will be provided as soon as possible or within 10 working days (public holidays excluded).

First Name

Last Name

Would you like to register for email project updates for the Flagstaff Road Upgrade?

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• No

Email address*

Required field if you would like to receive project updates

Phone number - home

Phone number - business

Phone number - mobile

Street Number/Street Name

Suburb

State

Postcode

Your key area(s) of interest

• Traffic
• Parking
• Walking/cycling
• Construction impacts
• Urban Design
• Local Access
• Project overall
• Other

Please specify

Please indicate each of the following that apply to you (multiple response)

• Local resident
• Local business
• Local property owner
• Cyclist
• Pedestrian
• Private vehicle commuter/road user
• Public transport user
• Local community/environmental/resident group member
• Other

Please specify

Please indicate each of the following that apply to you (multiple response)

• School student
• Tertiary student
• Retired
• Volunteer / unpaid worker / stay at home parent
• Work full time
• Work part time
• Public transport user
• Other

Please specify

Travelling on Flagstaff Road

This information will help the project team understand where Flagstaff Road users travel on a regular basis.

If you are employed, what suburb do you work in?

If a member(s) of your household travels to either school or tertiary education, to which suburb(s) do they travel?

When using Flagstaff Road to reach a destination for recreation, to which suburb(s) do you travel? e.g. football club, gym, children’s sport?

When using Flagstaff Road to do your regular shopping, to which suburb do you travel?

Walking and Cycling

What pedestrian and/or cyclist movement do you currently undertake on Flagstaff Road?

Additional comments

What are you top three priorities for the Flagstaff Road upgrade that you would like the project team to be aware of?

Your comments, questions, feedback and/or suggestions