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* 1. Name

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* 2. Age

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* 3. Gender

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* 4. What best describes you?

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* 5. Which town/village would you like to have your say on?

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* 6. How do you describe this town/village (3 words)?

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* 7. What do you value most about this town/village  (3 things)?

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* 8. How could this town/village be improved (top 3)?

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* 9. Why and who would these improvements benefit?

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* 10. How would you envision this town/village's future character?

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