Southern Cross Station Air Quality Survey

Step 1 of 2

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Who is your employer?(Required)

Job Role/Classification(Required)

Are you concerned about air quality at Southern Cross Station?(Required)

Yes

No

Have you ever raised concerns about air quality with your employer?(Required)

Yes (formally)

Yes (informally)

No

What, if any, health impacts have you experienced at work?

Has your employer ever consulted with you or shared information with you about air quality at Southern Cross Station?(Required)

Yes

No

Provide any extra comments here

To enable the RTBU to follow up and address any reported issues, please update your membership contact details with us below.

Name

First Last

Email

Phone

Address

City/Suburb

Post Code

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