Humans of the Great Southern
Thank YOU for taking time to contribute to our 'Living Histories' segment as part of WA Day! We value your contributions, and cannot wait to see how much you love the Great Southern like we do! Please note: the information provided may be broadcast live on WA Day and be retained on the Museums records for future exhibition use.
Name
First Name
Last Name
What is your gender?
Female
Male
Non-binary
Prefer not to answer
What is your age range?
0-17
18-24
25-34
35-44
45-54
55-64
65 - 74
75 - 84
85+
What is your local government authority area within the Great Southern region?
Albany
Plantagenet
Denmark
Katanning
Kojunup
Broomehill-Tambellup
Gnowangerup
Jerramungup
Cranbrook
Woodanilling
Other
Are you from a culturally diverse background?
Noongar
Aboriginal or Torres Strait (who don't identify as Noongar)
Migrant background
No
Prefer not to answer
Other
What do you love most about the Great Southern region?
*
Do you have a fun fact, quirky statement, or abstract thought to be shared relating to the Great Southern region?
If there is future exhibitions for Humans of the Great Southern, do you give permission to have your data used as part of it?
Yes
No - the live broadcast only
Yes - and I would like to be involved more
Other
Please share your email address (this won't be made public)
example@example.com
Submit
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