This questionnaire will tell us what your priorities are for your area. We will use this information to work in partnership with locally based services to assess how we can make improvements to the area so that it is a better place to live.

Question Title

* 1. Which area do you live in?

Question Title

* 2. On the whole, do you think that over the last 2 years your local area has got better or worse as a place to live?

Question Title

* 3. Do you consider yourself to have a disability?

Question Title

* 4. Thinking about WHERE YOU LIVE/WORK, which of the things below are YOUR three main priorities?

  First Priority Second Priority Third Priority
Affordable warmth
Clean streets
Fly tipping
Housing Provision
Neighbourhood/Town Centre improvement
Parks and open spaces
Play areas
Road/Pavement maintenance
Sports, leisure and cultural facilities (e.g. Libraries, Museums, etc)
Waste collection/recycling

Question Title

* 5. Thinking about SERVICES, which of the things below, if any, do you think need improving the most?

  First Priority Second Priority Third Priority
Community facilities and activities e.g. Community Centres
Services for the elderly
Services for disabled
Facilities and activities for children and young people

Question Title

* 6. Thinking about KNOWLEDGE AND SKILLS, which of the things below, would you like to access in your area?

Question Title

* 7. In the last 12 months have your been a victim of crime?

  Yes No
Crime
Anti social behaviour

Question Title

* 8. Thinking about CRIME AND COMMUNITY SAFETY, which of the things below concern you most in your neighbourhood?

  First Priority Second Priority Third Priority
Alcohol/Drug Misuse
Criminal Damage
Motorcycle nuisance
Anti-social behaviour
Vehicle Crime
Domestic Burglary
Doorstep Crime/Rogue Traders

Question Title

* 9. To what extent do you agree or disagree that your local area is a place where people from different backgrounds get on well together?

Question Title

* 10. Do you agree or disagree that you can influence decisions affecting your local area?

Question Title

* 11. Are you a member of any group in your neighbourhood?

Question Title

* 12. Would you be interested in becoming involved in any of the following in your area?

Question Title

* 13. Are you:

Question Title

* 14. Age:

Question Title

* 15. I would describe my ethnic origin as:

Question Title

* 16. Contact details (This must be completed if you wish to receive further information or wish to be entered into our 'FREE PRIZE DRAW')

Question Title

* 17. Please tick this box if you do not wish to be contacted in the future.

The full outcome from this Consultation and the Action Plan for your area will be available on our website or via the RMBC website, alternatively you can telephone 01709 823171.

T