Carlow Smart Community Network Survey
This form is designed to help gather details from the individuals who are interested in training or participation in this exciting program. If you have any question please email, call 01 5240040 or visit
What is your closest venue for training
Name *
Your answer
Email *
Your answer
Phone Number
Your answer
Name of your local community?
Your answer
I would be interested in attending the upcoming training
Which of these online tools do you use
No for me
I have a profile but dont use too regularly
I am comfortable with this
I am quiet good at this
What local groups/club are you a member of?
Please insert name of group + position> e.g. 1) PRO in local Tidy Towns 2) Player with Local GAA
Your answer
Which Community Development Theme are you interested in?
Very interested in this theme
Somewhat interested in this theme
Only a little interest in this theme
I dont have much interest in this theme
1. Business & Employment
2. Energy & Carbon Reduction
3. Safety, Crime & Extreme Weather
4. Habitats, Environment & Sustainability
5. Buildings, Resources & Infrastructure
6. Health & Wellbeing
7. Education & Skills
8. Culture, Heritage & Arts
9. Local Vlunteer Management
10. Governance, Management & Planning
How could the community be improved in your opinion?
Short bullet point answer will be fine here
Your answer
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