Residents' Survey (Stafford and Stone Liberal Democrats)

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Residents' Survey

What are YOUR priorities for your local area?

We want to find out about what issues matter to you, and your views on how we can keep Stafford and Stone a great place to live for you and your neighbours.

Please do let us know if there are any local issues that need dealing with, and we'll do our best to get things sorted.

(At the end of the survey, we'll ask for your contact details. This is to help us analyse your responses and to deal with any issues that you raise, and we may get in touch with you for further information. However, we won't use the details you provide for any other purpose unless you opt in to receive updates from us.)

______________________________________________________________________________________ Your Local Area
What three things do you like about living in the area?
1: more space
2: more space
3: more space
What three things could be done to make the area even better?
1: more space
2: more space
3: more space
______________________________________________________________________________________ Public Services
On a scale of 1 to 5 (with 5 being very concerned), how concerned are you about the state of public services?
1 2 3 4 5
Not at all concerned Very concerned
Which public services are you most concerned about?
- NHS
- Schools
- Police
- Public Transport
- Social Care
- Other (please type in below)
Other: more space
______________________________________________________________________________________ Local services
How easy do you find it to get to and use local services? (Leave blank for any of these services that you don't use)
Health Centre
1 2 3 4 5
Easy Difficult
Doctors / GP
1 2 3 4 5
Easy Difficult
Schools
1 2 3 4 5
Easy Difficult
Pharmacy
1 2 3 4 5
Easy Difficult
Children Centres
1 2 3 4 5
Easy Difficult
Library
1 2 3 4 5
Easy Difficult
Sports
1 2 3 4 5
Easy Difficult
Children's play area
1 2 3 4 5
Easy Difficult
Parks
1 2 3 4 5
Easy Difficult
______________________________________________________________________________________ Local problems and other issues
Are there any of the following problems in your area?
- Potholes in roads
- Bad pavements
- Faulty streetlights
- Missing street signs
- Dog fouling
Please give as much detail as you can about any problems you have ticked more space
Which of the following issues do you care about most? (Please tick up to three issues)
- Economy
- Housing
- Cost of living
- Crime and anti-social behaviour
- Unemployment and zero-hours contracts
- The NHS
- Social Care
- Education
- The Environment
______________________________________________________________________________________ Any other issues or concerns?
Let us know if we can help with anything. (Please make sure you give us your contact details so we can get back to you.) more space
Your contact details
Your name
Your email address
We'd like to keep you up to date on our work. Can we use the email you've provided to contact you in future? Please note, selecting no will opt you out of ALL contact from Stafford and Stone Liberal Democrats.
- Yes, keep me updated
- No thanks (I want to opt out of all contact)
Your postcode
If you submit this form, the Liberal Democrats, locally and nationally, may use information in it, including your political views, to further our objectives, share it with our elected representatives and/or contact you in future using any of the means provided. Some contacts may be automated. You may opt out of some or all contacts or exercise your other legal rights by contacting us. Further details are in our Privacy Policy at stonelibdems.org.uk/en/privacy
Please copy the letters in this image into the textbox

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	1	2	3	4	5
Not at all concerned						Very concerned

	1	2	3	4	5
Easy						Difficult

	1	2	3	4	5
Easy						Difficult

	1	2	3	4	5
Easy						Difficult

	1	2	3	4	5
Easy						Difficult

	1	2	3	4	5
Easy						Difficult

	1	2	3	4	5
Easy						Difficult

	1	2	3	4	5
Easy						Difficult

	1	2	3	4	5
Easy						Difficult

	1	2	3	4	5
Easy						Difficult

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If you enter your details on this website, the Liberal Democrats, locally and nationally, may use information in it, including your political views, to further our objectives, share it with our elected representatives and/or contact you in future using any of the means provided. Some contacts may be automated. You may opt out of some or all contacts or exercise your other legal rights by contacting us. Further details are in our Privacy Policy at stonelibdems.org.uk/en/privacy

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Stafford and Stone Liberal Democrats

Stafford and Stone Liberal Democrats

Residents' Survey

______________________________________________________________________________________ Your Local Area

What three things do you like about living in the area?

What three things could be done to make the area even better?

______________________________________________________________________________________ Public Services

______________________________________________________________________________________ Local services

How easy do you find it to get to and use local services? (Leave blank for any of these services that you don't use)

______________________________________________________________________________________ Local problems and other issues

______________________________________________________________________________________ Any other issues or concerns?

Your contact details

Stafford and Stone
Liberal Democrats