Where do you live?

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* 1. Town/Suburb:

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* 2. Postcode:

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* 3. What's your current childcare situation?

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* 4. What's your biggest childcare challenge? (Select all that apply)

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* 5. How has this affected your family? (Select one)

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* 6. Tell us your story - what's your experience with childcare in our community?

Your details

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* 7. Please complete the following details so that I can keep you informed:

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* 8. I'm happy to be contacted about my childcare story

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* 9. Please keep me updated about childcare initiatives

Privacy Notice: Your information will be used to understand childcare needs in our electorate and advocate for better services. Personal information will be handled in accordance with the Privacy Act 1988.
Authorised by Dan Tehan MP, Liberal Party, Hamilton VIC.

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