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What is your id code? |
(obtained from the Parish Clerk) |
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If you would like to be included in the prize draw, please provide
your telephone number or your address |
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ABOUT YOUR HOUSEHOLD |
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Q2.1 |
What is your gender? |
Male
Female |
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Q2.2 |
What is your age group? |
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Q2.3 |
Is any individual in your household (or your whole household)
currently in need of local alternative accommodation? |
Yes
No |
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Q2.4 |
Is your dwelling? (please select) |
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Q2.5 |
Enter the number of dependant children in your household who attend
the following. (Enter number in the box) |
Play group
Nursery school
Primary school
Middle school
Secondary school
School for those with special needs
College / University
Other |
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Q2.6 |
How many roadworthy vehicles are kept by your household? (Enter
number in box) |
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THE ENVIRONMENT |
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Q3.1 |
Indicate which of the following countryside features in and around
the village are important to you? (Tick more than one box if appropriate) |
Surrounding woodlands
Hedgerows
and verges
Sunderton Lane/South Lane Meadows
Chalton Green
Clanfield Pond
Queen Elizabeth
Country Park
Butser Ancient Farm
Traditional farm buildings
Working farmland/animals
Fields
for horse grazing |
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Q3.2 |
What do you think should be done to help protect and enhance the
local village environment? (Tick more than one box if appropriate)
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Recycling
Energy saving
Improved public transport
Communal composting
Car sharing
More local employment
Reduce traffic
Encourage
walking and cycling
Allotments
More
protection of existing sites
More
designated sites
Other |
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If "other", please specify: |
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Q3.3 |
Indicate which of the following would make the village roads, lanes
and paths more attractive? (Tick more than one box if appropriate) |
Remove litter
Keep public
areas mown and tidy
Let
roadside verges grow for wildlife
Stop
vehicle damage to road verges
Remove
unnecessary signage
Reduce traffic
Ban motor traffic on bridleways
Other |
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If "other", please specify: |
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Q3.4 |
Do you think the village needs more public toilets in addition to the
ones at the Rising Sun pub? (select one box only) |
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if "yes", where should it be located? |
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HOUSING |
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Q4.1 |
What kind of accommodation do you think the village needs? (Tick more
than one box if appropriate) |
Homes for
young people
Homes
for large families
Homes
for small families
Homes
for people with disabilities
Homes
for single people
Homes for the elderly
Homes for the young
Homes for
local people
Homes
for first time buyers
Other |
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If "Other", please specify |
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Q4.2 |
Do you think the village can accommodate more new housing? (Tick one
box only) |
Yes
No
Don't Know |
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If "yes", where? |
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Q4.3 |
What is your opinion of the appearance of new homes in the village?
(Tick one box only) |
Totally satisfied
Quite satisfied
Quite dissatisfied
Totally dissatisfied |
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If dissatisfied, why? |
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Q4.4 |
Which of these statements do you agree with?
(Tick more than one box if appropriate) |
New homes
should have a garden
New homes
should have a garage
New
homes should have off-street parking
New
homes should have space for visitor parking |
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Q4.5 |
Which styles of home would you like to see built in the village?
(Tick more than one box if appropriate) |
Bungalows
(1 floor)
Chalets (1.5 floors)
Houses (2 floors)
Property with more than 2 floors
Semidetached dwellings
Detached dwellings
Terraced dwellings
Flats
Maisonettes
Sustainable/eco friendly dwellings |
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Q4.6 |
What kind of tenure would you like to see for homes in the village?
(Tick more than one box if appropriate) |
Owner occupied
Provide plots for self-build properties
Rented
from housing association
Available on a part rent/part buy scheme |
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TRANSPORT AND ROADS |
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Q5.1 |
What is, or would be, your main means of transport to work,
training/study or shopping? (Tick whichever boxes are applicable) |
Car/Van
Public Bus
Private Bus
Taxi
Bicycle
Motor-cycle/Scooter/Moped
Train
Walking
Wheelchair or other disability transport
Other
Not applicable |
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If "other", please specify |
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Q5.2 |
If you have use of a motor vehicle, what do you use it for? (Tick
more than one box if appropriate) |
Leisure
Shopping
Work
Taking
children to school/college
Other |
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If "other", please specify |
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Q5.3 |
If responsible for a vehicle, where do you usually park it?
(Tick one box only)
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In a
garage/driveway (on your property)
In a
garage/driveway elsewhere
Off the
road (not on your property)
On the road |
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Q5.4 |
Which of the following do you think would improve the road standards
in our Parish?
(Tick more than one box if appropriate) |
Lower
speed limits
Speed
limit signage
Electronic speed indicators
Speed reduction measures
Weight restrictions
Better
street lighting
Improved parking facilities at the shops
Off road parking facilities at schools
Better signage
Disabled friendly road crossings
Improved road maintenance
Other |
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If "other", please specify |
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Q5.5 |
Which of the following improvements would you like to see in the
Parish bus services?
(Tick more than one box if appropriate) |
More routes
Better timetable
Connection to other public transport
Reduced Costs
Reliability
Bus
Stop location
Better access for the disabled
No
improvements required
Other |
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If "other", please specify |
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Q5.6 |
What is your opinion of Parish pavements and public footpaths? |
Good
Reasonable
Poor for walking
Poor for the disabled |
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If "Poor", please specify where and why |
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Q5.7 |
Do you experience problems with surface water drainage on our Parish roads? |
Yes
No |
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If "Yes", Please specify where |
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VILLAGE SIGNAGE AND PROFILE |
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Q6.1 |
Where do you usually get information about events taking place locally?
(Tick more than one box if appropriate) |
Parish Council Quarterly Newsletter
Free paper
Local paper
Church Newsletter
Doctors Surgery
Parish
Council notice board
Other |
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If "other", please specify |
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Q6.2 |
If it were available, would you use a village website to obtain
information about events taking place in the village and surrounding
area? (Tick one box only) |
Yes
No
No Opinion |
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Q6.3 |
Do you wish to see the village names of Clanfield or Chalton restored
to our postal address? (Tick one box only) |
Yes
No
No Opinion |
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LEISURE AND RECREATION |
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Q7.1 |
Do you think there are sufficient indoor and outdoor leisure and
recreational facilities/ activities in the village? (Tick one
box only) |
Yes
No |
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If "No", please indicate what additional facilities are required |
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Q7.2 |
Would you like to see more village community projects, e.g. pond
maintenance, litter picking? (Tick one box only) |
Yes
No
No Opinion |
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If "Yes", please indicate what type of projects you would
like to see and if you would be prepared to assist
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Q7.3 |
Would you like to see more village social events and facilities?
(Tick more than one box if appropriate) |
Concerts
Carnivals
Dances
Fetes
Quizzes
Tennis Courts
Bowling Green
Netball
/ Basketball Courts
Football / Rugby Pitches
Other |
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If "Other", please indicate what other events / facilities
you would like to see and if you would be prepared to assist with any
of them |
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Q7.4 |
Which groups listed below do you think would benefit from additional
leisure and recreational facilities?
(Tick more than one box if appropriate) |
Disabled
Preschool
5- 12
Teenagers
Adults
Families
Post retirement |
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THE YOUNG AND THE ELDERLY |
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Q8.1 |
Are the facilities available in the village for young people?
(Tick one box only) |
Good
Reasonable
Poor |
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If "poor", where could improvements be made? |
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Q8.2 |
If there are any young people in the household would they have an
interest in the following within the Village?
(Tick more than one box if appropriate) |
Mother
and Toddler Groups
Additional Playground Facilities
Open
play space / Kick about area
BMX track
IT/computer group
Youth Centre
Coffee
Shop / chill out area
Organised groups for young people
Other |
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If you would be interested in any other activities please specify and
indicate if you would you be prepared to help organise any of them |
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Q8.3 |
Are the facilities available in the village for those of retirement age?
(Tick one box only) |
Good
Reasonable
Poor |
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If "poor", where could improvements be made? |
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Q8.4 |
If there are any people of retirement age in the household would they
have an interest in the following within the Village?
(Tick one box only) |
Lunch club
Bridge club
Whist club
Scrabble/Chess club
Book
club / reading group
Discussion group
IT/computer group
Keep-fit group
Slimming club
Ballroom dancing
Use of
a day-care / drop-in centre?
Other |
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If you would be interested in any other activities please specify and
indicate if you would you be prepared to help organise any of them |
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SCHOOLS AND EDUCATION |
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Q9.1 |
Has your household experienced any problem securing the following placements?
(Tick more than one box if appropriate) |
Nursery/day care
Registered Childminder
Pre-school/playgroup (ages 2½-4yrs)
Infant
school (ages 4-6yrs)
Junior
school (ages 7-11yrs)
Not applicable |
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If "Yes", please provide details |
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Q9.2 |
Which of the following services would you like to see implemented/improved?
(Tick more than one box if appropriate) |
Co-ordinated transport to and from school (i.e. school bus)
Walking
bus (supervised walking groups to and from school)
Improved crossing facilities
Breakfast club
After
school club
Special
needs considerations
Other |
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If "other", please specify |
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Q9.3 |
If any of your children under 16 are unable to take part in after
school activities, please give the reasons why.
(Tick more than one box if appropriate) |
Lack of
transport home
Distance
between home/school
Special
needs not catered for
Other |
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HEALTH |
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Q10.1 |
What are your views about opening times at your local GP surgery?
(Tick one more than one box if appropriate) |
No
problems with present opening times
Would
like earlier and/or later opening times
Would like
weekend cover at surgery |
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Q10.2 |
What are your views about opening times at the village pharmacy?
(Tick one more than one box if appropriate) |
No
problems with present opening times
Would
like earlier and/or later opening times
Would like
weekend opening hours |
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Q10.3 |
Do you believe there is a need for better provision of any of the
following services or facilities within the village?
(Tick more than one box if appropriate) |
Nursing home
Baby clinic
Family planning clinic
Physiotherapy services
Phlebotomy (blood testing)
Doctor
Weekend surgery
District/Practice Nurse
Health visitor
Home help
NHS Dentist
Maternity care
Chiropody
Loan
of medical equipment
Meals
on wheels
Counselling services
Patient Transport Services
Other |
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If "other", please specify |
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SECURITY AND POLICING |
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Q11.1 |
What are your views on the standard of the following services in the village?
(Please select a response from the boxes) |
Fire
Ambulance (emergency)
Police (emergency)
Police (Bobby/beat)
Police Community Support Officer |
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Q11.2 |
Which, if any, of the following crimes and anti-social behaviours in
the village concern you?
(Tick more than one box if appropriate) |
Theft/burglary
Mugging/robbery
Vandalism/graffiti
Drunkenness/rowdiness
Groups/gangs congregating
Verbal abuse
Noisy neighbours
People
using/dealing drugs
Physical attack
Minors - inconsiderate behaviour
Speeding and dangerous driving
Inconsiderate parking
Dog fouling
Other |
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If "other", please specify |
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Q11.3 |
If you have expressed a concern in question 11.2, please indicate
where in the village the relevant crime/anti-social behaviour happens
most frequently. |
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Q11.4 |
Are there any areas in the village in which you feel unsafe?
(Tick one box only) |
Yes
No
No Opinion |
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If "Yes", please state where in the village |
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Q11.5 |
Are there any areas in the village where you feel the use of Closed
Circuit Television Cameras (CCTV) would be justified?
(Tick one box only) |
Yes
No
No Opinion |
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If Yes, please state where in the village |
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SHOPS AND BUSINESSES |
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Q12.1 |
Should the village encourage businesses to be located here?
(Tick more than one box if appropriate) |
Yes,
within the current shopping areas
Yes,
within a small business park
Yes
in another location within the Village
No |
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If Another Place within the Village, please specify |
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Q12.2 |
Would a local job vacancy board displayed in the village be useful?
(Tick one box only) |
Very useful
Quite useful
Useful
Of no use
No opinion |
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Q12.3 |
If you are employed, on average how far do you travel to work each
day? (Enter return trip distance in miles) |
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Q12.4 |
Do you intend to work from home?
(Tick one box only) |
Already
work mostly from home
Yes, within
the next 12 months
Yes, within the
next 4 years
Yes, within
the next 10 years
No |
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Q12.5 |
What facilities would enable you to work within the village?
(Tick more than one box if appropriate) |
Shared facilities (space, desk, etc.)
Shared PC, printing
Shared administration/receptionist
Improved mobile phone reception
Improved Broadband speed
Improved local childcare provision
Other |
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Q12.6 |
What village shops/services do you use most frequently?
(Tick more than one box if appropriate) |
Restaurants/cafes
Take
away food outlets
Groceries/news agents
DIY shops
Leisure shops
Health
and beauty outlets (hairdresser, pharmacy, etc.)
Pubs
Post office
Other |
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Q12.7 |
Should the village set up a centralised location for mail/parcel
delivery, so items can be delivered while you are away from
home? (Tick one box only) |
Yes
No |
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Q12.8 |
How far would you prefer to travel to reach the following types of shops/services?
(choose an answer from the box) |
Restaurants/cafes
Take away food outlets
Groceries/news agents
DIY shops
Health and beauty outlets (hairdresser, pharmacy etc)
Pubs
Post office
Other |
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If "other", please specify |
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Thank you very much for cooperating in the production of our Parish
Plan. If you would like to make any further comments please
indicate in this box |
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