Clive’s Big Community Survey

PLEASE PUT YOUR YOUR CONTACT DETAILS HERE
Name
Address
1. WHAT THREE CHANGES WOULD MOST IMPROVE YOUR LOCAL COMMUNITY?
2. WHAT ARE THE THREE MOST IMPORTANT ISSUES AFFECTING YOU AND YOUR FAMILY?
3. WHAT ARE THE THREE MOST IMPORTANT ISSUES FACING THE COUNTRY AT THIS TIME?
WHAT DO YOU THINK SHOULD BE MY GREATEST PRIORITY AS YOUR MEMBER OF PARLIAMENT?
HOW HAPPY ARE YOU WITH MY PERFORMANCE AS YOUR MP? CHECKBOXES
ANYTHING ELSE YOU'D LIKE TO TELL ME?
Which party will you vote for at the next general election?
National voter ID
Which party will you vote for at the next local election?
Local voter ID
Thank you for taking the time to complete this survey.
Consent
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