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* 1. “What matters to you?”
Would you like to share your personal perspective as someone living in the North Cotswolds?
All answers are anonymous and help us understand what people care about and what might be missing locally.

On a scale of 1 (not at all) to 10 (completely) how connected do you feel to your local community?

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* 2. Which issues affect you or people you know in this area? (tick all that apply)

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* 3. Is there anything you’d love to see happen locally that isn’t currently happening?

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* 4. Would you like to get involved in community life?

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* 5. Optional Demographic Info (to show broad reach — entirely optional):

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* 6. First part of postcode

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* 7. If you'd like to stay in touch and keep updated on our work just add your name and email

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