Section 1 | Evoenergy

2. Would you like to be involved in other surveys or community engagement opportunities about energy pricing and services? *

3. What gender do you identify with? *

4. What age group are you in? *

5. Are you (tick all that apply): *

6. Do you hold any of the following? *

Pensioner concession card
Health care card
Department of Veteran’s Affairs Gold Card (excluding dependents), War Widow’s card of TPI card
None of the above
Prefer not to say

7. Where were you born? *

Please specify *

8. Do you speak a language other than English at home? *

If answered yes, please specify which language/s you speak. *

9. Do you own a small business *

10. Would you like to enter in the draw to win a gift card? If so, please enter your contact details below:

Name

Email

Phone

*All personal information you give us will be managed in accordance with the Privacy Act 1988 and our Privacy Policy.