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| Please enter the number of people in your household who are aged |
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| Of those who are 17 and over in your household, how many are: |
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Section B
HOW IMPORTANT ARE THE FOLLOWING ASPECTS OF LIVING IN TOLLERTON TO YOU?
You can only select one answer for each question. If you have no opinion or
it is not important to you, please leave blank
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DO YOU FEEL THAT ANY OF THE FOLLOWING ARE PROBLEMS FOR TOLLERTON?
You can only select one answer for each question. If you have no opinion or
it is not important to you, please leave blank
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| Other (please specify below) | |
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Section C
TRAFFIC AND TRANSPORT
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| How satisfied are you with the current bus service? |
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| If you are dissatisfied with the bus service how would you like to see it improved? |
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| Parking in Tollerton |
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| Where have you experienced the problem? | |
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| What solutions would you like to see introduced to tackle parking problems? (These could include parking restricted areas, local enforcement officers etc) |
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| TRAFFIC IN TOLLERTON
Do you feel that traffic is a problem in the village? |
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| Are there any areas of road that you feel are particularly dangerous?
(Please give details)
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| Would you like to see any additional road safety measures introduced? (These might include pedestrian crossings, chicanes, a lower speed limit in the village centre, etc) |
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FACILITIES FOR PEDESTRAINS
How would you rate the following:
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| Please give further details of improvements you would like to see: |
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| Have you experienced any problems using footpaths around the village? (Please give further details) |
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SECTION D - HOUSING AND BUILDING
Would you like to see more housing in the village?
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| Would you support the production of a ‘welcome pack’ for newcomers to the village, giving important information on services and local groups? |
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Section E
THE VILLAGE ENVIRONMENT
What would you most like to see kept the same in Tollerton, or maintained for the future?
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| Is there anything you think could be changed for the better? |
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ENVIRONMENTAL SERVICES
How satisfied are you with the following?
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| Suggestions for improvement in above | |
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VILLAGE STORE
Please tick here to register your support for post office services to be maintained to at least the present outreach level in the future
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| Is there any additional product or service that the village shop could offer and if so, what? |
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| WEBSITE |
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| If you have viewed the website, please mention any additional topics or issues you would like to see included |
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| The tree on the village green is 100 years old in 2009. Would you welcome a village event that celebrated this? |
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Section E
POLICING AND COMMUNITY SAFETY
Do you think the level of police coverage in Tollerton is adequate? |
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| Have you been a victim of any of the following in Tollerton within the last two years?
(If ‘no’ please leave blank)
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| Would you welcome a neighbourhood watch scheme in the village? |
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| Would you be prepared to participate in a neighbourhood watch scheme? |
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Section G
REPRESENTING YOUR VIEWS
Do you feel your elected representatives in local government are sufficiently aware of local concerns and feeling? |
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| Do you know who your representative on these councils is? |
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Section H
ACTIVITIES AND SOCIAL GROUPS
The following is a list of social and sports events currently available in Tollerton. Please answer to indicate whether you were aware of these, whether you already attend them, or if you would be interested in participating in the future? |
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| Is there anything you would like to see offered in Tollerton that isn’t currently available? (These could include evening classes, sports activities, events like village fairs, or social opportunities like evening suppers, gardening schemes, etc) |
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THE SPORTS FIELD
Would you welcome a broadening of the sports field’s use? |
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| If ‘yes’, what would you like to see provided there? (This could include planting schemes such as a willow wood, more benches and picnic areas, but we would love to hear your ideas) |
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PLAY FACILITIES ON THE SPORTS FIELD
(Please leave blank any questions that do not apply to you)
UNDER 10s
What facilities would you like to see provided for the under 10s at the sports field?
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| Under 10s facilities suggestions | |
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| Do you feel that the facilities for under 10s are safe enough? |
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11-17 YEAR OLDS
What facilities would you like to see at the sports field for this age group?
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SECTION I - HEALTHCARE |
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| How important is it to you that the GP in Tollerton has a pharmacy service? |
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| Do you consider yourself to have a disability? |
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| Do you rely on a wheelchair or other mobility aid in daily life? |
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| Does anyone in your household require care because they are |
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| Please feel free to give more detail about the kind of services you would welcome, or any areas of concern to you. |
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AND FINALLY...
Is there anything else we should have asked, or any further points you would like to raise?
(All answers will be treated in the strictest confidence)
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| IF YOU WISH TO BE ENTERED INTO THE PRIZE DRAW FOR THE HAMPER FROM THE VILLAGE STORE, PLEASE GIVE YOUR NAME AND ADDRESS BELOW. THIS INFORMATION WILL BE DETACHED FROM YOUR QUESTIONNAIRE AS SOON AS IT IS COLLECTED, AND WILL NOT BE USED TO IDENTIFY YOU IN ANY WAY. |
| Name,address and contact number | |
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| If you have indicated your willingness to volunteer for any of the groups or committees mentioned in this questionnaire and you would like us to pass your name on to the organisers of these groups we would be grateful if you could fill in your details below. Again, this will not be linked to your questionnaire answers in any way. |
| Name,address and contact number | |
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| Please indicate the group or activity you are interested in participating with:
(Please note: ticking this box does not commit you to doing anything, but it will give the organisers a chance to contact you and let you know what’s involved)
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