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* 1. Please indicate your age:

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* 2. Please indicate your gender:

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* 3. Which facility/facilities did you visit and are you commenting on?

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* 4. Which activities did you take part in?

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* 5. How often do you visit this facility?

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* 6. Do you use any other Falkirk Community Trust venues or services?

  Daily 2-3 times a week Once a week Once a month Less than once a month
Library
Hippodrome
Falkirk Town Hall
Callendar House
Park (e.g. Callendar or Zetland)
The Helix
Outdoor Activities
Walking Groups
Any other facility

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* 7. Do you have any other comments?

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* 8. If you wish to be entered into our prize draw, please fill in the following:

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* 9. Would you like to be added to our e-mailing list?

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