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Local Community Questionnaire
We value the opinions of our local community members and invite you and your household to share your thoughts on how the community centre can best meet your needs.
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Please select the area of the parish where you currently reside. (The parish is located within the orange boundary)
1
2
3
4
Outside of the Parish
Clear selection
Demographic
Please complete the following section to help us understand and represent the diversity of our local community.
Age Range
<18
19 - 25
26 - 35
36 - 45
46 - 55
56 - 65
66+
Prefer not to say
Clear selection
Gender
Male
Female
Non Binary
Transgender Man
Transgender Women
Other
Prefer not to say
Clear selection
If other, please specify
Your answer
Ethnicity
Asian, Asian British, Asian Welsh, Asian Irish
Black, Black British, Black Welsh, Caribbean or African
Mixed or Multiple Ethnicities
White, White British, White Welsh, White Irish
European
South American
American, Canadian
Other
Prefer not to say
Clear selection
If other, please specify
Your answer
Religious beliefs
Christianity
Islam
Judaism
Sikhism
Hinduism
Buddhism
Other
Prefer not to say
Clear selection
If other, please specify
Your answer
Sexual orientation
Heterosexual
Gay
Bi
Lesbian
Other
Prefer not to say
Clear selection
If other, please specify
Your answer
Do you class your self as having a disability
Yes
No
Prefer not to say
Clear selection
Work Status
Employed Full Time
Employed Part time
Unemployed
Self Employed
Volunteer
Other
Prefer not to say
Clear selection
If other, please specify
Your answer
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