* 1. Please enter your postcode:

* 2. How many children age under 5 in your household and what ages are they?

* 3. How often do you attend a Childrens' Centre?

* 4. What new services/advice/support would you like to see at the Childrens Centre for YOU as a parent?

* 5. What new services/advice/support would you like to see at the Childrens' Centre for your FAMILY?

* 6. What new activities/services/advice would you like to see for your CHILD?

* 7. What are the best times for your family to attend the Childrens' Centre?
Tick all that apply

* 8. Which Childrens' Centre do you attend?

* 9. Please enter satisfaction levels on the following, with Poor being 1 and Very Satisfied being 5.

  1 2 3 4 5
Staff
Groups and activities
Venues
Information (programmes, email, Facebook)

* 10. We would like to be able to contact you to inform you of new services available through the Childrens' Centres. If you are happy for us to do this please leave a contact email or address. Many thanks for submitting this questionnaire.

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