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* 1. Are you male or female?

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* 2. Which category below includes your age?

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* 3. Where do you live?
(please write the first part of your postcode, e.g. B69, DY5, WS10, WV14)

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* 4. What is(are) your connection(s) to the Black Country, if you have any?

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* 5. Please tick any of the following you have used

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* 6. Do you use a smart phone?

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* 7. How much would you say you agree or disagree with this statement?
“buildings and sites which tell us something about the past should be preserved”

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* 8. How much would you say you agree or disagree with this statement?
“the distinctly black country network has helped me appreciate the area’s history and heritage”

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* 9. How could social media (e.g. Facebook, Twitter etc.) be used to better promote local history and heritage?

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* 10. If you would like to be placed in a prize draw to win a ticket to the Black Country Living Museum please write your email address here:-

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