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?

1

2

3

4

5

6

7

8

9

10

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

Loneliness or isolation

Struggles with transport or rural access

Lack of youth provision

Mental health or wellbeing needs

Cost of living or debt worries

Lack of local events or activities

Not feeling heard or included

Caring responsibilities

Other (please specify)

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

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

Yes – as a volunteer

Maybe, but I don’t know where to start

Not right now

I already volunteer or support local groups

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

Under 18

18–30

31–50

51–70

70+

6.First part of postcode

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