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* Where do you live? (name of town or village)

* No of children in household

* Age(s) of children (tick all that apply)

* How often, on average, do you visit indoor play centres?

* How far do you/would you travel to go to an indoor play centre?

* How much do you usually pay per child?

* How long do you spend at indoor play on average?

* Do you eat / drink at an indoor play centre?

* Have you / would you use an indoor play centre for a child's party?

Please provide any other comments or suggestions. If you are interested in hearing more about this project, please provide contact details including a name and email address or telephone number.

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