Peninsula Speaks Inc – Register for the Survey

Survey 2016

Peninsula Speaks Inc. is currently undertaking online research, via an independent survey firm, where a range of local opinions on how we see the future of our Mornington Peninsula will be collated.

The survey will involve simple online questions on a wide ranging series of topics distributed electronically on a periodic basis.

Your ongoing participation in the survey will ensure you receive the survey questions as they become available for distribution.

In order to assist the survey’s validity, the survey requires a minimum participation of 2000 people so if you would like to get on board then please complete the form below.

Yes, please confirm my participation in the Peninsula Speaks Inc survey

Name*

Email*

Mobile Phone*

Yes, I would like to participate in the survey being organised by Peninsula Speaks, and

Yes, I give my approval for Peninsula Speaks Inc. to forward my details to the independent survey company as selected by them, and

I give permission for these details to be stored for future contact purposes  Yes No