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1. Living Streets Icy Pavements questionnaire

Living Streets, the national charity that stands up for pedestrians is looking for case studies of those young and old who were affected by the adverse weather conditions last winter. These case studies will be used on our website, in our communications and potentially in the media.

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* 1. Please advise whether you are happy for your story to be used:

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* 2. And are you happy for us to use your story:

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* 3. Please fill in your details. Your details will not be shared with third parties. Your name and region may be shared if you have stated above that you are happy for this information to be used in promotional materials or in media case studies.

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* 4. Were you inconvenienced/injured/isolated or just put out by the icy pavements during the snowy spell last winter?

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* 5. What were the pavements like where you live?

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* 6. Was there enough grit in your local area? Who was gritting the pavements? Did locals get involved in clearing or did the council step in?

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* 7. Could there have been ways to do things better?

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* 8. What are your concerns about the snow and ice this winter?

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* 9. Additional comments:

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