This questionnaire is to support a local community based funding bid, to be administered by the Wolseley Trust, which will substantially help support local organisations and the services and the activities they provide.

Please help us support these organisations by answering the questions below:

* 1. How old are you?

* 2. What is your gender?

* 3. What is the post code of where you live?

* 5. Do you feel that your self-confidence increased after attending one or more of the activities listed above?

* 6. Did the activities you participated in increase your awareness of health issues? e.g. healthy eating, exercise and healthy mind from learning or information given?

* 7. Did you feel safe in the activity you attended?

* 8. What other activities or service(s) do you want not listed above?

Thank you for your time!

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