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* 1. Are you male or female?

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* 2. How old are you

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* 3. What is your first name?

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* 4. What is your last name?

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* 5. What is your street address? (only provide if you wish to, it will not be shared)

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* 6. What is your post code? (We need this in order to determine the distance you live from Charteris)

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* 7. Please give your phone number (Only give this if you wish to be contacted by phone, this no will not be shared)

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* 8. What is your E mail address? (Please complete if you wish us to contact with news about Charteris, this will not be shared)

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* 9. What sport and recreational activities do you undertake at present? Choose all that apply

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* 10. Do you use a sports centre or gym to carry out any of the above activities?

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* 11. If yes please list the places you currently use to carry out your sport / recreational activities?

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* 12. How do you travel to the sporting facilities you have listed ?

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* 13. Were you a previous user of Charteris?

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* 14. If yes, what activities did you use it for?

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* 15. Were there any other activities you used Charteris for ?

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* 16. Would you use New Charteris ?

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* 17. If yes to the above which of the following would you be interested in using at "New" Charteris ?

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* 18. Are there any other activities you would like Charteris to offer?

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* 19. What factors would most influence you to chose Charteris. Please give each factor a rating from 1-5, where 1 is the most important ?

  1 2 3 4 5
Proximity / convenience
Range of activities
Pricing
Friendly community atmosphere
Other

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* 20. Do you wish to run classes or carry out coaching at Charteris ? If so please describe the activity.


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* 21. Would you be prepared to volunteer to assist in the running of Charteris ?

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