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* 1. What county do you live in?

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* 2. Have you experienced an increase in petrol/diesel costs?

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* 3. Do you live in a rural or urban area?

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* 4. Has this impacted on your ability to get to work or to do other necessary activities for you or your family?

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* 5. Have you experienced an increase in home heating fuel costs?

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* 6. Have you been able to secure the quantity of home heating fuel you needed?

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* 7. Have you had to cut back on essential items such as groceries in order to meet increased fuel costs?

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* 8. Do you have your heating on less than before or needed because of the increased cost of heating?

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* 9. Have you had to pursue other transport options due to increased costs of petrol and diesel?

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* 10. Have you had to cut down on other expenses such as trips to restaurants, hairdressers etc due to increased fuel costs?

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* 11. If you are a business owner, self-employed or a farmer has the increase in petrol/diesel or heating costs impacted you negatively?

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* 12. Do you think the government is doing enough to address the rising cost of petrol/diesel and home heating?

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* 13. Any comments?

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