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Questions marked with an * are required Exit Survey
 
 
Young People's Survey
Are you between 11-17 and live in the Haywoods, Colwich, Wolseley Bridge or Bishton? We want your views on your future in Colwich.
Reward vouchers of winners' choice to be won:
1st £75
2nd £50
3rd £25

Thank you!
 
 
 
Do you feel part of village life?
 
Yes
 
No
 
 
Are you happy with the following existing facilities?
Yes No
Outdoor Areas
Sport
Groups/Clubs
 
 
 
Where do you go for other leisure activities?
   
 
 
 
Do you want a say on local issues?
 
Yes
 
No
 
 
 
My Number 1 improvement for young people in Colwich would be... (e.g. sports equipment, meeting places, multi use games area, youth shelter, skatepark, better bus routes, separate sports ground etc.)
   
 
 
About you:
Boy Girl
11-12 yrs
13-15 yrs
16-17 yrs
 
 
Name/Address
(This is optional but is needed if you are to be entered into the draw for Reward Vouchers of your choice.)
First Name : 
Last Name : 
Address 1 : 
Address 2 : 
Town : 
City : 
Postcode : 
* Email Address :