Play mapping
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1. Play provision
Please fill in this short questionnaire by Friday 25 June if your organisation is involved in play provision in Birmingham. The questions are all required. Thank you.
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1
. Name of the provider -
The main organisation delivering the service:
Name of the provider - The main organisation delivering the service:
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2
. Lead contact:
Lead contact:
Name:
Job title:
Phone number:
Email address:
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3
. Postal address:
Postal address:
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4
. Description of your service relating to play:
Description of your service relating to play:
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5
. How often do you provide the service (eg holidays, weekly, weekdays):
How often do you provide the service (eg holidays, weekly, weekdays):
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6
. Age range of children and young people benefiting from the service:
Age range of children and young people benefiting from the service:
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7
. In which constituency(ies) do you provide your service (ie Edgbaston, Erdington, Hall Green, Hodge Hill, Ladywood, Northfield, Perry Barr, Selly Oak, Sutton Coldfield, Yardley, citywide):
In which constituency(ies) do you provide your service (ie Edgbaston, Erdington, Hall Green, Hodge Hill, Ladywood, Northfield, Perry Barr, Selly Oak, Sutton Coldfield, Yardley, citywide):
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8
. Who funds your service?
What is the cost of this service? (optional)
Who funds your service? What is the cost of this service? (optional)
9
. Do you wish to be involved in future consultations? Please add any comments you may have.
Thank you for participating in this survey.
Do you wish to be involved in future consultations? Please add any comments you may have. Thank you for participating in this survey.
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