Bodham and Beckham Community Shop Question Title * 1. If a Community Shop was opened how frequently would you use it? Daily 2-3 times a week Once a week Once a fortnight On the odd occasion Never Question Title * 2. At what time of day would you be most likely to use a community Shop Before 8am 8am - 11am 11am - 2pm 2pm-5pm After 5pm Question Title * 3. Which village do you live in? Bodham West Beckham East Beckham Other (please specify) Question Title * 4. What sort of products would you most likely buy, please select all that apply Newspapers/magazines Ready meals Frozen food Fresh fruit & vegetables Milk, Cheese and Dairy Meat Bread / Bakery products Greetings Cards/Wrapping Pet food Sweets/Crisps/Ice Cream Household cleaning products Beers, wines & spirits Stationery Tinned goods Craft items Cigarettes/tobacco Gifts Dried Foods e.g. Pasta Coal/logs Toiletries Fresh sandwiches Organic / Fair Trade products Other (please specify) Question Title * 5. What services would you like to see provided, please select all that apply Post Office Tea Room / Cafe Advertisement board Tickets for local events Photocopying Delicatessen counter Dry cleaning Lottery Photo processing Home Delivery Display area for local artists E-top ups for mobile phones Other (please specify) Question Title * 6. Please state how many people of each age range live in your household 0-16 16-30 31-45 46-60 61-75 75+ Question Title * 7. Would you or anyone else in your household be interested in a community shop project in any of the following ways ? Joining a steering committee Helping with fundraising Volunteering in the day-to-day running of the shop Making a donation Making a loan Buying a share Providing professional services/advice and my profession/skills are: Question Title * 8. If you have answered yes to any of the above, or would like us to contact you in any way, please leave your contact details here Name Address Address 2 Village ZIP/Postal Code Email Address Phone Number Done