Fill out the Survey

Fill out the Survey

The survey draw has now closed. We would like to thank all who filled out the wood smoke survey. Your feedback has really helped us focus our campaign activities over the past few months. 

We would also like to congratulate the the winner of the draw: Mr Marc Winters. 

The wood smoke survey will remail open to further help us target our project activities for 2015 (for example in determining where in Western Sydney we can best offer our workshops and and other educational activities, where Western Sydney-siders get their firewood, etc.)

Take the Survey

Back to Wood Smoke Reduction Campaign

Wood Smoke - Survey
  1. PERSONAL DETAILS
  2. First Name:(*)
    Please enter your First Name
  3. Last Name:
    Please enter your Last Name
  4. Organisation:(*)
    Please enter your Organisation
  5. Phone number:(*)
    Please enter your phone number
  6. Email:(*)
    Please enter a valid email address.
  7. Address (street, number, post code, suburb):(*)
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  1. SURVEY QUESTIONS
  2. Does your home have a wood heater? : (*)
    Please make a selection
  3. If so, where do you get your firewood? :(*)
    Please answer this question
  4. Would you be interested in attending a workshop to learn more about proper operation of wood heater? (Save in heating costs and reduce air pollution): (*)
    Please make a selection
  5. Do you know anyone who owns a wood heater? :(*)
    Please make a selection
  6. If so, what is their location (street, post code, suburb)?:(*)
    Please enter your First Name
  7. How many homes in your neighbourhood do you estimate have wood heaters?:
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  8. (*)

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