Community Consultation Ledbury Poetry
1.
Have you heard of Ledbury Poetry?
Yes
No
2.
Have you ever been to an event or workshop hosted by Ledbury
Poetry? If you have please tell us what it was.
3.
Please could you tell us what you think Ledbury Poetry does? And also who is it for?
4.
Are you aware of Ledbury Poetry's community programme?
Yes
No
5.
Are Ledbury Poetry's events appealing and relevant to you?
Yes
No
Please comment
6.
Who do you think might attend Ledbury Poetry's activities?
7.
What events / activities would you like to see Ledbury Poetry provide?
8.
We'll be establishing a group to help create our year round community programme. Would you like to be involved? Please add your e mail address if you would.
Yes
No
add email address
9.
If you would like to be kept informed of our programme and activities please add email address below.
10.
Are there any other comments you'd like to make?
11.
We want to ensure that we reach a representative sample of people who live in the Ledbury area. It would help us if you could give as us much information about yourself as you feel comfortable with, by circling the relevant categories below. We understand that this is personal information and you are in no way obliged to fill this in.
This information is useful to us when we apply for further funding.
OK
No thanks
12.
Age
0-9
10-19
20-29
30-39
40-49
50-59
60-69
70-79
80+
Prefer not to say
13.
Gender
Female
Male
Non binary
Other
Prefer not to say
14.
Ethnicity
15.
Employment Status
16.
Marital Status
17.
Would you consider yourself to have a disability?
Yes
No
Prefer not to say
18.
Would you consider yourself to be Neurodivergent?
Yes
No
Prefer not to say
19.
What is your sexuality?
20.
What is your religion?
