Question Title

* 1. Name :- (if you do not wish to disclose this your initials will suffice):-

Question Title

* 2. Address (again if you do not wish to share this information please supply your post code):-

Question Title

* 3. Age:-

Question Title

* 4. Gender:-

Question Title

* 5. How often do you visit the Centre?

Question Title

* 6. What activities do you partake in the Centre and Park?

Question Title

* 7. What do you LIKE most about the Park / Centre?

Question Title

* 8. What do you DISLIKE about the Park / Centre?

Question Title

* 9. What activities would you like to see in the park or centre? Please place tick beside each activity you would like to have available / more available.

Question Title

* 10. If you would like to receive more information on the Whitworth in our newsletter please provide us with your email address.

T