1. SECTION: Contact Details

This survey is designed to collect information on all facilities which are available for communities to use within the county. To be included in this survey such facilities are to be run on a ‘not for profit’ basis only. Privately run facilities such as hotels or pubs will not be included within the survey. For the purposes of this survey school premises will not be included either.

Please complete and return this questionnaire by Wednesday 9th November, 5pm. All questionnaires completed by the deadline will be entered into a draw for €250.

Thank you for participating in our survey. Your feedback is important.

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* 1.1 Name of facility

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* 1.2 Address of facility

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* 1.3 Townland the facility is located in

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* 1.4 Eircode

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* 1.5 Telephone

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* 1.6 Mobile

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* 1.7 Email:

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* 1.8 Website

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* 1.9 Name & address of contact person for the facility

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* 1.10 Would you like for your details to be placed on a public database?

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