Burntwood Town Council and Lichfield Garrick Theatre Questionnaire

What can we do for you?

This questionnaire is part of a wider cultural consultation with the residents of Burntwood, with the aim of developing and delivering a new cultural programme, specifically designed to serve the needs of the Burntwood Township. This might take the form of a youth theatre group, cinema group, small scale touring productions, classes in creative play for parents, or anything else that may arise.

Optionally, if you would like to register your interest in following this consultation, and being told about all the exciting activities that arise from it, please put your name and contact information below. You do not need to put your name/contact details for your questionnaire to still be acknowledged.

Question Title

* 1. Name (Optional)

Question Title

* 2. Contact Email (Optional)

Question Title

* 3. Age

Date of Birth

Date

Question Title

* 4. What area do you live in?

Burntwood

Burntwood Green

Boney Hay

Chase Terrace

Chasetown

Gorstey Lea

N/A

Your data will be kept securely in case of necessary review up until 01/03/2027. Your data will only be reviewed in the context of research and consultation and will not be shared with any parties outside of this context. There will be no public display/discussion of your data. You will only be contacted regarding your registered interest in activities specific to the results of this consultation and it’s resulting activities.